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De-epithelialized dermal flap for nipple reconstruction: A modified star flap
Su Hyun Lee1, Deok Woo Kim1, Hi Jin You1
1Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan, Korea.
Archives of Plastic Surgery
|July 24, 2019
Summary
A modified star flap technique for nipple reconstruction, incorporating a de-epithelialized dermal flap, significantly improves long-term nipple projection compared to the traditional method. This innovation addresses concerns about height loss in nipple reconstruction after breast reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- Nipple reconstruction is a crucial component of breast reconstruction.
- The star flap is a popular technique, but suffers from gradual height loss.
- A novel modification aims to improve projection and longevity.
Purpose of the Study:
- To evaluate a modified star flap technique for nipple reconstruction.
- To assess the maintenance of nipple projection using this new method.
- To compare the modified technique with the conventional star flap.
Main Methods:
- Retrospective review of patients undergoing nipple reconstruction with a modified star flap.
- Modified design featured trapezoidal lateral wings and added de-epithelialized dermal flaps.
- Nipple height was measured at 2, 4, 6, and 12 months postoperatively.
Main Results:
- 32 patients received the modified flap; 18 had the conventional method.
- Mean follow-up was 14.4 months (modified) and 17.3 months (conventional).
- Mean projection maintenance at 12 months was 56.28% (modified) vs. 44.23% (conventional), a statistically significant difference (P<0.05).
Conclusions:
- The modified star flap with a de-epithelialized dermal flap offers superior projection maintenance.
- This technique is reliable for patients with abdominal tissue-based breast reconstruction.
- The modification effectively addresses height loss concerns in nipple reconstruction.
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