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Archives of Breast Cancer، جلد ۱۱، شماره ۱، صفحات ۶۰-۶۶
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کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Improving Long-Term Projection in Nipple Reconstruction Using a New Human-Derived Acellular Dermal Matrix: Dermal matrix for nipple
چکیده انگلیسی مقاله Background: Loss of projection is a very common complaint after nipple reconstruction. In this paper, we present our experience with the use of a novel human cadaver-donor-derived acellular dermal matrix, named MODA (Matrice Omologa Dermica Acellulata) from the Regional Skin Bank to improve and stabilize nipple projection after oncoplastic breast surgery. Methods: We did a retrospective analysis of patients undergoing nipple reconstruction with local flap and MODA graft after breast reconstruction between February 2019 and May 2021. The analysis was done following the Declaration of Helsinki and was approved by the ethics committee; written consent was sought from all the participants. The main evaluation criterion was nipple projection measurement, performed immediately after surgery, 6 and 12 months postoperatively. The secondary endpoints were complications and patients’ satisfaction. Results: In this study, 50 patients underwent nipple reconstruction, with 57 reconstructed nipples. All cases except six followed delayed breast reconstruction. The patients were divided into 3 groups, according to the breast reconstructive technique. There were three cases of delayed wound healing and two cases of partial necrosis, but all of the cases healed by secondary intention. Five percent of the patients (3/57 reconstructions) presented more than 60% of nipple projection loss and required another procedure. The other reconstructed nipples maintained an average of over 60% projection after 12 months. Conclusion: The described technique presents a high success rate associated with low complications. Indeed, it provides the advantages of nipple reconstruction with ADM with low costs, appears safe after radiotherapy, and has similar results when used after different reconstructive techniques.
کلیدواژه‌های انگلیسی مقاله Nipple, breast, oncology, plastic surgery, projection, long term
نویسندگان مقاله | Elena Lucattelli
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.


| Federico Cattin
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy


| Federico Cipriani
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy


| Laura Dellachiesa
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy


| Tommaso Fogacci
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy. E-mail:


| Gianluca Frisoni
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy


| Domenico Samorani
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy


| Davide Melandri
Burn Unit, “M. Bufalini” Hospital, AUSL Romagna, Cesena, Italy


| Gloria Semprini
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy


| Luca Fabiocchi
General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy
نشانی اینترنتی https://archbreastcancer.com/index.php/abc/article/view/827
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi) 10.32768/abc.202411160-66
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Original Article
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