Our Experiences in Nipple Reconstruction Using the Hammond flap.
10.5999/aps.2014.41.5.550
- Author:
Jung Dug YANG
1
;
Jeong Yeop RYU
;
Dong Wan RYU
;
O Hyun KWON
;
Sung Gun BAE
;
Jeong Woo LEE
;
Kang Young CHOI
;
Ho Yun CHUNG
;
Byung Chae CHO
Author Information
1. Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea. lambyang@daum.net
- Publication Type:Original Article
- Keywords:
Nipples;
Surgery;
Plastic;
Mammaplasty
- MeSH:
Breast;
Female;
Humans;
Mammaplasty;
Nipples*;
Patient Satisfaction;
Prospective Studies;
Surveys and Questionnaires
- From:Archives of Plastic Surgery
2014;41(5):550-555
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Nipple reconstruction following breast mound reconstruction is the final step in breast reconstruction. Although nipple reconstruction is a simple surgery, the psychological aspects of nipple reconstruction are thought to be important. Nipple projection is a key factor in determining patient satisfaction with the surgery. In the present study, the Hammond flap technique was introduced for nipple reconstruction. METHODS: Twenty-six patients who had undergone breast reconstruction from February 2008 to March 2012 were enrolled in this prospective study. All patients were evaluated based on preoperative photos, and their nipple diameters and heights were measured. Postoperative evaluation was conducted 3, 6, 9, and 12 months following nipple reconstruction. A questionnaire on patient satisfaction with the nipple reconstruction was administered 12 months after nipple reconstruction. Moreover, the same plastic surgeon scored nipple projection and overall cosmetic result of the new nipple. RESULTS: The mean projection was 4.4 mm (range, 3-6 mm), and it well matched the contralateral nipple. Twelve months following nipple reconstruction, the mean reduction rate in the nipple projection was 43.6%. Patients were satisfied or very satisfied with the nipple projection and the overall cosmetic result in 80.7% cases. CONCLUSIONS: In the present study, compared with other techniques, the use of the Hammond flap technique in nipple reconstruction showed competitive results with regard to nipple projection and patient satisfaction.
