Comparison of Outcomes between Direct-to-Implant Breast Reconstruction Following Nipple-Sparing Mastectomy through Inframammary Fold Incision versus Noninframammary Fold Incision

노태석; 김재윤; 정복기; 정준; 안성귀; 김영석

추천

검색

자료유형: 학술저널

저자정보: 노태석 (연세대학교) 김재윤 (연세대학교) 정복기 (연세대학교) 정준 (연세대학교) 안성귀 (연세대학교) 김영석 (연세대학교)

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.21 No.2

발행연도: 2018.1

수록면: 213 - 221 (9page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: In properly selected patients with breast cancer, nipplesparing mastectomy (NSM) is generally considered safe by oncologic standards. We examined two groups of patients who underwent direct-to-implant (DTI) reconstruction after NSM, comparing complications encountered, revision rates, and aesthetic outcomes. The patients were stratified based on type of surgical incision and assigned to inframammary fold (IMF) and non-IMF groups. Methods: We investigated 141 patients (145 breasts) subjected to NSM and immediate DTI reconstruction between 2013 and 2016. A total of 62 breasts (in 58 patients) were surgically removed via IMF incisions, with the other 83 breasts (in 83 patients) removed by non-IMF means. Results: Complications associated with IMF (n=62) and non-IMF (n=83) incisions were as follows: skin necrosis (IMF, 9; non-IMF, 18); hematoma (IMF, 3; non-IMF, 4); seroma (IMF, 8; non-IMF, 4); mild capsular contracture (IMF, 4; non-IMF, 7); and tumor recurrence (IMF, 2; non-IMF, 8). Surgical revisions were counted as duplicates (IMF, 18; non-IMF, 38). Aesthetic outcomes following IMF incisions were rated as very good (44.2%), good (23.1%), fair (23.1%), or poor (9.6%). Conclusion: IMF incision enables complete preservation of the nipple-areolar complex, yielding superior aesthetic results in immediate DTI breast reconstruction after NSM. The nature of incision used had no significant impact on postoperative complications or reoperation rates and had comparable oncologic safety to that of non-IMF incisions. IMF incisions produced the least visible scarring and did not affect breast shape. Most patients were satisfied with the aesthetic outcomes.

참고문헌 (30)

참고문헌 신청

Didier F / 2009 / Does nipple preservation in mastectomy improve satisfaction with cosmetic results, psychological adjustment, body image and sexuality / Breast Cancer Res Treat 118:623~633

Didier F / 2012 / Why do women accept to undergo a nipple sparing mastectomy or to reconstruct the nipple areola complex when nipple sparing mastectomy is not possible / Breast Cancer Res Treat 132:1177~1184

Jensen JA / 2011 / Nipple-sparing mastectomy in 99 patients with a mean follow-up of 5 years / Ann Surg Oncol 18:1665~1670

Jensen JA / 2009 / Breast cancer: is nipple sparing mastectomy safe / Ann Surg 250:657~658

Crile G Jr / 1973 / Partial mastectomy for carcinoma of the breast / Surg Gynecol Obstet 136:929~933

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

노태석

소속기관 Department of Plastic and Reconstructive Surgery Gangnam Severance Hospital Yonsei University College of Medicine Seoul Korea.

주요연구분야 의약학 > 의학 일반 의약학 > 임상의학 > 성형외과학

논문수 9 이용수 6

김재윤

소속기관 연세대학교