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Related Experiment Videos

Nipple reconstruction using the C-V flap technique: a long-term evaluation.

A Losken1, G J Mackay, J Bostwick

  • 1Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA.

Plastic and Reconstructive Surgery
|August 10, 2001
PubMed
Summary
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The C-V flap technique for nipple reconstruction shows good long-term patient satisfaction (81%) and symmetry restoration after TRAM flap breast reconstruction. However, some loss in nipple projection and sensation was noted.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Nipple reconstruction is a crucial component of breast reconstruction.
  • Various techniques exist, but a universally favored method is lacking.
  • The C-V flap technique is one option for nipple reconstruction.

Purpose of the Study:

  • To evaluate the long-term outcomes and patient satisfaction of nipple reconstruction using the C-V flap technique.
  • To assess nipple projection, pigmentation, sensation, and symmetry compared to the contralateral breast.

Main Methods:

  • A retrospective review of patients who underwent C-V flap nipple reconstruction between 1992 and 1996.
  • Long-term follow-up included patient questionnaires (visual analogue scale for satisfaction) and objective nipple measurements.

Related Experiment Videos

  • Comparison with the opposite nipple for symmetry and projection.

    • Main Results:

    • 11 patients with 14 reconstructions were evaluated at an average follow-up of 5.3 years, all post-TRAM flap.
    • Patient satisfaction was 42% for projection, 62% for pigmentation, and 26% for sensation.
    • Overall patient satisfaction was 81%, with good symmetry restoration.
    • Average nipple projection was 3.77 mm, not statistically different from the contralateral nipple.

    Conclusions:

    • The C-V flap technique provides good long-term overall patient satisfaction and symmetry after breast reconstruction.
    • A subjective decrease in nipple projection and sensation may occur over time.
    • Further research into optimizing nipple projection and sensation in C-V flap reconstruction is warranted.