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JCR 2016
جستجوی مقالات
جمعه 21 آذر 1404
World Journal of Plastic Surgery
، جلد ۶، شماره ۱، صفحات ۶۸-۷۳
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Nipple Reconstruction Using the C-V Flap Technique: Long-Term Outcomes and Patient Satisfaction
چکیده انگلیسی مقاله
BACKGROUND Nipple creation using the C-V flap technique is often the final step in breast reconstruction. The aim of this study was to subjectively and objectively assess the cosmetic outcomes and satisfaction of patients undergoing C-V flap nipple reconstruction. METHODS Subjective assessments of patient satisfaction with the neo-nipple were recorded by visual analogue scoring (VAS; 0-10). Objective measurements were performed using a calliper to measure nipple projection relative to the native breast. Descriptive data analysis was performed with differences in projection assessed with the Mann-Whitney test and mean and median VAS scores (with inter-quartile ranges; IQR) calculated to describe satisfaction. RESULTS Thirty-three C-V flap nipple reconstructions were performed. 87.9% received latissimus dorsi (LD) reconstructions with implants and 12.1% had transverse rectus abdominis muscle (TRAM) reconstructions. The median projection of reconstructed nipples was 4.7 mm (range 4-10.2 mm) at 4.6 years mean follow-up, which was not significantly different from the contralateral nipple (p = 0.34). Patient satisfaction was 9 (IQR: 8-10) with shape, 9 (IQR: 7.5-10) with projection, 5 (IQR: 2-9.6) with sensation, and 8.5 (IQR: 6-9.5) with symmetry. Median overall satisfaction was 9 (IQR: 8-10). Three patients had complete nipple loss, of whom two had undergone nipple piercing post procedure and none had received radiotherapy. CONCLUSION C-V flap nipple reconstructions provide a simple and reliable method to reconstruct the nipple that enhances confidence and perception of body image. Satisfaction was high with long-term outcomes in terms of projection equivalent to the contralateral breast.
کلیدواژههای انگلیسی مقاله
C-V flap, Nipple reconstruction, Patient satisfaction
نویسندگان مقاله
lona jalini | lona jalini
north tees and hartlepool university hospital nhs foundation trust, united kingdom
جاناتن lund | jonathan lund
north tees and hartlepool university hospital nhs foundation trust, united kingdom
پ سینگ kurup | vijay kurup
breast and endocrine surgeon, north tees and hartlepool university hospital nhs foundation trust, united kingdom
نشانی اینترنتی
http://wjps.ir/browse.php?a_code=A-10-184-1&slc_lang=en&sid=en
فایل مقاله
اشکال در دسترسی به فایل - ./files/site1/rds_journals/239/article-239-331254.pdf
کد مقاله (doi)
زبان مقاله منتشر شده
en
موضوعات مقاله منتشر شده
تخصصی
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