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27 August 2017
Adel Hamed Elbaih1, Eman Adel Elzeky1, Islam Elshaboury1, Mohamed Oraby2 1) Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. 2) Department of
10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
10 May 2017
Khaled Moursy Salama1, Monira T.

NIPPLE RECONSTRUCTION USING THE C-V FLAP TECHNIQUE: LONG-TERM OUTCOMES

Lona Jalini, Jonathan Lund, Vijay Kurup

1) North Tees and Hartlepool University Hospital NHS Foundation Trust,UK.

Disclosure: The author has declared no conflicts of interest.

Received: 17.02.16 Accepted: 31.03.16

1486385429 Quote  doi: 10.5455/ijsm.nipplereconstruction

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Abstract:

Introduction: 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.

Keywords: C-V flap; nipple reconstruction; patient satisfaction


How to Cite this Article

Jalini, L., Lund, J. and Kurup, V. (2016). NIPPLE RECONSTRUCTION USING THE C-V FLAP TECHNIQUE: LONG-TERM OUTCOMES. International Journal of Surgery and Medicine, [online] 2(3). Available at: http://10.5455/ijsm.nipplereconstruction.
 

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Last modified onSaturday, 15 April 2017 10:24

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