Abstract
INTRODUCTION Nipple reconstruction is the final stage of breast reconstruction and performed after acceptable breast mound shape and symmetry has been achieved. Here is a description of an original technique of L shaped nipple reconstruction to address issues such as transverse mas-tectomy scar which lies at the Neo nipple position. AIM The objective of this study is to describe an original tech-nique of nipple reconstruction, using a combination of random flap and dermal graft; and also measures patient satisfaction of outco-mes. This original technique is set to overcome challenges of nipple reconstruction such as correct positioning, maintaining adequate projection and creating an almost inconspicuous scar. METHODS 31 patients underwent the L-shaped nipple reconstruction between 2011 and 2016 at our Breast Unit. Complications and outcomes were analysed and compared with 59 patients who underwent traditional CV flap during the same study period (total N=90, i.e., L flap n=31 and CV flap=59). RESULTS There was no statistically significant difference in complication rates between traditional CV flap (9.7%) and L-shaped (13.6%) nipple reconstructions (Fishers exact test p=0.74). In our study cohort undergoing L flap nipple reconstruction, 94% were either pleased or very pleased with their decision to have undergone nipple reconstruction and 93% would either strongly or very strongly recommend it to a friend. CONCLUSIONS The innovative L-shaped nipple reconstruction has positive patient satisfaction out-comes and is a very suitable alternative to traditional nipple reconstruction such as CV flap.
Highlights
Reconstruction of nipple-areolar complex has been shown to have a positive influence on the overall recovery process of women undergoing post mastectomy breast reconstruction and helps to restore body image more completely
A number of reconstructive techniques have been described for nipple reconstruction including skin grafts, composite grafts, and various local flaps
Nipple reconstruction and patient satisfaction outcomes study seem to be an area of very limited research and lack of evidence based scientific literature
Summary
Reconstruction of nipple-areolar complex has been shown to have a positive influence on the overall recovery process of women undergoing post mastectomy breast reconstruction and helps to restore body image more completely. This clearly underscores the well-known concept that, part of the reconstruction of an aesthetically pleasing breast, is a high-quality nipple-areolar reconstruction [1]. Over the last 30 years, many different techniques have been described to accomplish this task The goals for this nipple-areola reconstruction include appropriate nipple projection, areolar colour, and areolar texture. The most popular techniques benefit from simplicity, reliability and reproducibility
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