Author(s): Roomana Akhlaque, Junaid Ahmad, Nabila Naz, Maham Iftikhar
Received: 20/01/2023 | Published: 28/02/2023 | Pages: 24-27 |
Background: Due to an increased incidence of breast cancer in younger patients, breast reconstruction after mastectomy is now an emerging super specialty in Pakistan. Nipple and are ola needs to be reconstructed as a completion procedure after creation of an aesthetically pleasing breast mound.
Materials and Methods: It was a prospective cohort study which was conducted at PGMI/ AMC/ Lahore General Hospital, Lahore for duration of one year. Standard CV flaps were used in all cases. Flapsurvival and complications were observed. The projection of the nipple was measured in all cases. The patient satisfaction was scored using Visual Analogue scale.
Results: We have done 10 cases of Nipple Reconstruction with CV flap in breast reconstruction and burn breast cases. The nipple projection was 10.2 mm on average. No major complication was observed. All patients were satisfied with an average of 9 at 1-10 scale.
Conclusion: The nipple reconstruction with the CV flaps is simple and reliable technique with high satisfaction rates in patients of breast reconstruction.
Keywords: Nipple reconstruction, CVFlap, Breast reconstruction.
1. Little JW. Nipple-areola reconstruction. Clin Plast Surg. 1984;11(2): 351-64. 2. Nimboriboonporn A, Chuthapisith S. Nipple-areola complex reconstruction. Gland Surg.2014;3(1):35–42. 3. Komiya T, Iwahira Y. A New Local Flap Nipple ReconstructionTechniqueUsingDermalBridgeandPreoperativelyDesignedTattoo.PlastReconstrSurgGlobOpen.2017; 5(4):e1264. 4. He J, Wang T, Xu H, Zhang Y, Dong J. Immediate two-stage nipple reconstructionwith a local mastectomy flap following secondary autologous breast reconstruction. JPlast ReconstrAesthet Surg. 2016;69(2):206-10. 5. Few JW, Marcus JR, Casas LA, Aitken ME, Redding J. Long-term predictable nippleprojectionfollowingreconstruction.PlastReconstrSurg.1999;104(5):1321–4. 6. Jabor MA, Shayani P, Collins DR Jr, Karas T, Cohen BE. Nipple-areola reconstruction:satisfaction andclinicaldeterminants.PlastReconstr Surg.2002;110(2):457–63. 7. WellischDK,SchainWS,NooneRB,LittleJW3rd.Thepsychologicalcontributionofnippleadditioninbreastreconstruction.PlastReconstrSurg.1987;80(5):699–704. 8. L Jalini, Lund J, Kurup V. Nipple Reconstruction Using the C-V Flap Technique: Long TermOutcomesandPatient Satisfaction.WorldJ Plast Surg.2017;6(1):68-73. 9. Zhong T, Antony A, Cordeiro P. Surgical outcomes and nipple projection using themodified skate flap for nipple-areolar reconstruction in a series of 422 implantreconstructions. AnnPlastSurg.2009;62(5):591–5. 10. GurunluogluR,ShafighiM,WilliamsSA,KimmGE.Incorporationofapreexistingscarinthestar-flaptechniquefor nipplereconstruction.AnnPlastSurg. 2012;68(1):17–21. 11. Kroll SS. Nipple reconstruction with the double-opposing tab flap. Plast Reconstr Surg.1999;104(2):511–4. 12. KrollSS,ReeceGP,MillerMJ,EvansGR,RobbGL,BaldwinBJ,et al. Comparison of nipple projection with the modified double-opposing tab and starflaps.PlastReconstrSurg.1997;99(6):1602–5. 13. Losken A, Mackay GJ, Bostwick J 3rd. Nipple reconstruction using the C-V flap technique:along-termevaluation.Plast ReconstrSurg. 2001;108(2):361–9. 14. El-Ali K, Dalal M, Kat CC. Modified C-V flap for nipple reconstruction: our results in 50patients. JPlastReconstrAesthetSurg. 2009;62(8):991–6. 15. Otterburn DM, Sikora KE, Losken A. An outcome evaluation following postmastectomy nipplereconstructionusingtheC-V flaptechnique. AnnPlastSurg.2010;64(5):574–8. 16. Sisti A, Grimaldi L, Tassinari J, Cuomo R, Fortezza L, Bocchiotti MA, et al. NippleAreolaComplexReconstructionTechnique:ALiteratureReview.EJSO2016;42(4):441-65.
All published material becomes the sole property of the Pakistan Journal of Plastic Surgery, copyrighted by the Pakistan Association of Plastic Surgeons (PAPS). By submitting an article or brief communication, all authors agree to these conditions.
During the submission process, all authors have required to complete a copyright transfer agreement, “Author Consent form” By completing the copyright transfer agreement, you are transferring copyright of figures, tables, videos, and the content of the manuscript to the Pakistan Association of Plastic Surgeons (PAPS).
If you do not wish to or cannot transfer copyright of some or all of your content, please contact the editorial office at pjpspakistan@gmail.com.