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Skurikhin S.S.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences

Sitnikov A.E.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences

Chagunava O.L.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences

Free nipple-areolar complex grafting combined with reconstruction for unavoidable mastectomy

Authors:

Skurikhin S.S., Sitnikov A.E., Chagunava O.L.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2024;(4): 60‑64

DOI: 10.17116/plast.hirurgia202404160

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Table of contents

FREE NIPPLE-AREOLAR COMPLEX GRAFTING COMBINED WITH RECONSTRUCTION FOR UNAVOIDABLE MASTECTOMY
FREE NIPPLE-AREOLAR COMPLEX GRAFTING COMBINED WITH RECONSTRUCTION FOR UNAVOIDABLE MASTECTOMY

To cite this article:

Skurikhin SS, Sitnikov AE, Chagunava OL. Free nipple-areolar complex grafting combined with reconstruction for unavoidable mastectomy. Plastic Surgery and Aesthetic Medicine. 2024;(4):60‑64. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202404160

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To determine advisability of free nipple-areolar complex grafting in patients with breast cancer at various stages of disease; to establish the effect of various breast implants, neoadjuvant chemotherapy and adjuvant radiotherapy on nipple-areolar complex grafting.

MATERIAL AND METHODS

There were 16 free nipple-areolar complex grafting procedures at the St. Petersburg Clinical Hospital of the Russian Academy of Sciences in patients with stage I-IIIB breast cancer between June 2021 and July 2023. All patients underwent total mastectomy with various mammoplasty options.

RESULTS

Fourteen (87.5%) patients had favorable results with complete engraftment of the nipple-areolar complex, 1 (6.3%) patient developed central nipple necrosis, another (6.3%) patient had hypopigmentation and complete involution of the nipple-areolar complex. Thirteen (81.2%) patients underwent neoadjuvant chemotherapy before total mastectomy. Radiotherapy was performed in 4 (25%) patients within 4-6 weeks after surgery. Two (12.6%) patients underwent tissue expander replacement with permanent implants in 14 months and 6 months after the first stage of reconstruction with nipple-areolar complex grafting.

CONCLUSION

Cancer stage, neoadjuvant chemotherapy and type of implant do not affect survival of the nipple-areolar complex. The transplanted autologous tissues satisfactorily tolerate expansion to create necessary volume for the second stage of reconstruction. Modern radiotherapy is not a limitation for free nipple-areolar complex grafting.

Keywords:

breast cancer
mastectomy
nipple-areolar complex
reconstruction
free transplantation

Authors:

Skurikhin S.S.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences

Sitnikov A.E.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences

Chagunava O.L.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences

Received:

15.01.2024

Accepted:

15.05.2024

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References:

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