Summary
In 106 of our patients, breast cancer has been detected early, and a modified radical mastectomy was possible. Reconstruction could be carried out replacing the missing skin by wide advancement of abdominal skin. Fixation of the tightened abdominal skin to the thoracic wall with a continuous suture creates a new inframammary fold and a skin pocket big enough for any size of prosthesis. Among all methods for reconstruction of the nipple-areola complex, we found three to be the best: 1) preservation of the nipple-areola from the amputated breast, 2) combination of nipple graft and areola tattoo, 3) sharing the areola and nipple of the other breast.
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References
Allison AB, Haworth MB Jr (1978) Carcinoma in a nipple preserved by topic auto-implantation. N Engl J Med 298:1132
Apfelberg DE, Maser MR, Lash H (1976) Breast reconstruction for malignant or premalignant disease. West J Med 125:350
Baroudi R, Pinotti JA, Kepke EM (1978) A transverse thoraco-abdominal flap for closure after radical mastectomy. Plast Reconstr Surg 61:547
Bouvier B (1977) Problems in breast reconstruction. Med J Aust 1:973
Bohmert H (1974) Eine neue Methode zur Rekonstruktion der weiblichen Brust nach radikaler Mastektomie. In: Plastische Chirurgie des Kopf- und Halsbereiches und der weiblichen Brust. Thieme, Stuttgart, p 292
Bostwick J, Vasconez L, Jurkiewicz J (1978) Breast reconstruction after radical mastectomy. Plast Reconstr Surg 61:682
Edgerton MT (1979) Breast reconstruction after radical mastectomy for cancer. South Med J 60:719
Georgiade N (1979) Breast reconstruction following mastectomy. Mosby, St Louis
Hartley JH (1976) Specific applications of the double lumen prosthesis. Clin Plast Surg 3:247
Höhler H (1977) Reconstruction of the female breast after radical mastectomy. In: Converse, JM (ed) Reconstructive plastic surgery. Saunders, Philadelphia, 2nd ed, p 3710
Horton CE, Rosato FA, McCraw JB, Dowden RV (1979) Immediate reconstruction following mastectomy for cancer. Senologia 4:135
Lemperle G, Jäger K (1980) Die Indikation zum Wiederaufbau der weiblichen Brust nach radikaler Mastektomie. Zentralbl Chir 105:220
Lemperle G, Spitalny H-H (1980) Reconstruction of the nipple and areola after radical mastectomy. Acta Chir Belg 79:155
Lejour M (1979) Reconstruction mammaire après mastectomie pour cancer. Senologia 4:135
Mühlbauer W, Olbrisch R (1977) The latissimus dorsi myocutaneous flap for breast reconstruction. Chir Plastica 4:27
Olivari N (1979) Use of thirty latissimus dorsi flaps. Plast Reconstr Surg 64:654
Patey DH, Dyson WH (1948) The prognosis of carcinoma of the breast in relation to the type of operation performed. Br J Cancer 2:7
Perrin ER (1976) The use of soluble steroides within inflatable breast prosthesis. Plast Reconstr Surg 57:163
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Spitalny, H.H., Lemperle, G. & Radu, D. Reconstruction of the breast by advancement of abdominal skin. Chir Plastica 6, 87–93 (1981). https://doi.org/10.1007/BF00289633
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DOI: https://doi.org/10.1007/BF00289633