Immediate breast reconstruction with a wise pattern mastectomy and NAC-sparing McKissock vertical bipedicle dermal flap
(2018) In Journal of Plastic, Reconstructive and Aesthetic Surgery 71(10). p.1432-1439- Abstract
Preservation of the nipple-areola complex (NAC) in immediate reconstruction of ptotic and large breasts is surgically challenging. This article presents a modification of the inferior dermal flap ("dermal sling") to a vertical bipedicle flap with NAC preservation. This flap is well described in breast reductions but has never been described in a mastectomy setting. The study reviews data for a case series of 17 breasts in 11 women who underwent breast reconstruction with the new technique. The complication rate was 12%, thus indicating that the vertical bipedicle NAC-sparing flap should be considered a feasible option for breast reconstruction in women with ptotic and/or large breasts.
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/7d422ebc-5bff-4ec6-be18-3b2b3ac458e2
- author
- Lewin, Richard ; Jepsen, Christian ; Hallberg, Håkan and Hansson, Emma LU
- organization
- publishing date
- 2018-10
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Plastic, Reconstructive and Aesthetic Surgery
- volume
- 71
- issue
- 10
- pages
- 8 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:30244708
- scopus:85049309073
- ISSN
- 1878-0539
- DOI
- 10.1016/j.bjps.2018.05.027
- language
- English
- LU publication?
- yes
- id
- 7d422ebc-5bff-4ec6-be18-3b2b3ac458e2
- date added to LUP
- 2018-09-29 06:50:09
- date last changed
- 2024-09-17 03:19:06
@article{7d422ebc-5bff-4ec6-be18-3b2b3ac458e2, abstract = {{<p>Preservation of the nipple-areola complex (NAC) in immediate reconstruction of ptotic and large breasts is surgically challenging. This article presents a modification of the inferior dermal flap ("dermal sling") to a vertical bipedicle flap with NAC preservation. This flap is well described in breast reductions but has never been described in a mastectomy setting. The study reviews data for a case series of 17 breasts in 11 women who underwent breast reconstruction with the new technique. The complication rate was 12%, thus indicating that the vertical bipedicle NAC-sparing flap should be considered a feasible option for breast reconstruction in women with ptotic and/or large breasts.</p>}}, author = {{Lewin, Richard and Jepsen, Christian and Hallberg, Håkan and Hansson, Emma}}, issn = {{1878-0539}}, language = {{eng}}, number = {{10}}, pages = {{1432--1439}}, publisher = {{Elsevier}}, series = {{Journal of Plastic, Reconstructive and Aesthetic Surgery}}, title = {{Immediate breast reconstruction with a wise pattern mastectomy and NAC-sparing McKissock vertical bipedicle dermal flap}}, url = {{http://dx.doi.org/10.1016/j.bjps.2018.05.027}}, doi = {{10.1016/j.bjps.2018.05.027}}, volume = {{71}}, year = {{2018}}, }