Background: Although quadrantectomy and lumpectomy help diminish the psychological and physical devastation inflicted, mastectomy is still elected in 20 to 30 percent of breast cancers. Although initially inciting controversy over heightened risk of local recurrences, recent studies maintain that nipple-sparing mastectomy can be used in any patient qualifying for total mastectomy and also improves aesthetic and psychologic outcomes. The manner in which mastectomy influences reconstructive implant outcomes has been documented by several groups. This report details the authors' experience performing nipple-sparing mastectomy with immediate implant-based breast reconstruction, focusing attention on patient characteristics and aspects of surgical mastectomy that influence reconstruction outcomes. The aim of the study was to examine various issues, such as surgical access, mode of tissue dissection, and flap thickness, clearly linked to development of complications and poor results. Methods: A retrospective study was conducted, analyzing patients with breast cancer. An external three-surgeon panel served to generate average scores for predefined parameters. Based on total scores, outcomes were designated excellent, good, moderate, or poor. Results: The authors' cohort included 1647 patients. Overall, 2023 nipple-sparing mastectomies were performed, including bilateral procedures in 376 patients. After a minimum follow-up period of 12 months, the authors' cohort was stratified by scored outcomes. Significant impact of body mass index, skin incision, flap thickness, and grade of ptosis has been demonstrated. Conclusions: The authors' data suggest that proper patient selection and well-executed operations are mandatory to limit complications. They also indicate that aesthetic outcome is clearly dependent on surgical proficiency and some patient characteristics. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
http://ift.tt/2jXj1BX
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
Αρχειοθήκη ιστολογίου
-
►
2023
(391)
- ► Φεβρουαρίου (200)
- ► Ιανουαρίου (191)
-
►
2022
(2843)
- ► Δεκεμβρίου (161)
- ► Σεπτεμβρίου (219)
- ► Φεβρουαρίου (264)
- ► Ιανουαρίου (280)
-
►
2021
(5625)
- ► Δεκεμβρίου (231)
- ► Σεπτεμβρίου (345)
- ► Φεβρουαρίου (620)
-
►
2020
(2065)
- ► Δεκεμβρίου (535)
- ► Σεπτεμβρίου (222)
- ► Φεβρουαρίου (28)
-
►
2019
(9608)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3791)
- ► Ιανουαρίου (3737)
-
►
2018
(69720)
- ► Δεκεμβρίου (3507)
- ► Σεπτεμβρίου (3851)
- ► Φεβρουαρίου (8116)
- ► Ιανουαρίου (7758)
-
▼
2017
(111579)
- ► Δεκεμβρίου (7718)
- ► Σεπτεμβρίου (7549)
-
▼
Φεβρουαρίου
(10753)
-
▼
Φεβ 01
(358)
- Covalent Growth Factor Tethering to Direct Neural ...
- Study of efficacy of esthetic High-Intensity Focus...
- The efficacy study of the combination of tripeptid...
- Chemotherapy-induced alopecia management: Clinical...
- Study of efficacy of esthetic High-Intensity Focus...
- The efficacy study of the combination of tripeptid...
- Chemotherapy-induced alopecia management: Clinical...
- Characterizing the detectability of emission signa...
- Public member dose assessment of Bushehr Nuclear P...
- Radioactivity levels in the mostly local foodstuff...
- Duplication Anomalies of the Internal Auditory Can...
- Duplication Anomalies of the Internal Auditory Can...
- Coercive Control, Physical Violence, and Masculinity
- Treatment pattern and frequency of serum TSH measu...
- Primary Thyroid Carcinoma with Low-Risk Histology ...
- Effects of Adequate Iodine Supply on the Incidence...
- Acknowledgment of Reviewers
- Shigenobu Nagataki (January 18, 1932–November 12, ...
- Future Meetings
- Primary Thyroid Carcinoma with Low-Risk Histology ...
- Effects of Adequate Iodine Supply on the Incidence...
- Acknowledgment of Reviewers
- Shigenobu Nagataki (January 18, 1932–November 12, ...
- Future Meetings
- Blockage of androgen and administration of estroge...
- Quantifying 125I placement accuracy in prostate br...
- MRI in prostate brachytherapy: Evidence, clinical ...
- Dosimetric and radiobiologic comparison of 103Pd C...
- Deformable image registration for cervical cancer ...
- Brachytherapy boost for prostate cancer: Trends in...
- New application of three-dimensional printing biom...
- Adjuvant radiotherapy is not supported in patients...
- Target volume and artifact evaluation of a new dat...
- Improving patient safety and workflow efficiency w...
- New application of three-dimensional printing biom...
- Adjuvant radiotherapy is not supported in patients...
- [Current position of new fixed-dose combination of...
- Validation of a new snoring detection device based...
- Facial nerve paralysis associated with temporal bo...
- MEG and EEG demonstrate similar test-retest reliab...
- Vemurafenib-induced toxic epidermal necrolysis: is...
- Diagnostic Agreement and Interobserver Concordance...
- Use of Topical Glucocorticoids: a Population-Based...
- A Case of Eosinophilic Fasciitis Associated with P...
- Thermoplastic polyurethanes from β-methyl-δ-valero...
- A processing method with high efficiency for low d...
- Size control of aromatic polyamide hollow spheres ...
- Modeling the formation of layered, amphiphilic gels
- Microspheres of polyurethanes functionalized with ...
- Facile preparation of hydrogen-bonded supramolecul...
- An abnormal melting behavior of isotactic polyprop...
- Investigation of the biocompatibility and cytotoxi...
- Preparation and properties of positively charged m...
- Rheological behavior of polyacrylonitrile and poly...
- Dynamic, ultra-pH-sensitive graft copolymer micell...
- Impact of carbon nanotube prelocalization on the u...
- A Characterization of Cancer Patients in Inpatient...
- Letter from the Guest Editor: Pelvic MR Imaging
- Speech-Language Pathologists' Use of Hearing Scree...
- Methylphenidate effects on P300 responses from chi...
- Fully-covered metallic stenting in an infant with ...
- Upper Eyelid Reconstruction Using a Blepharoplasty...
- Effect of nebulized budesonide on decreasing the r...
- Effect of nebulized budesonide on decreasing the r...
- Is Surgical Navigation Useful During Closed Reduct...
- Relations of Facial Nerve With Retromandibular Vei...
- Characteristics of Pediatric Cheek Mass.
- Anatomical Study of the Infraorbital Nerve and Sur...
- Reconstruction of Extensive Orbital Exenteration D...
- Open Reduction in Pediatric Condylar Fracture.
- Is Presence of Vascular Loop in Magnetic Resonance...
- Combined Endoscopic and Trans Palpebral Orbital Re...
- An Economic Analysis of Bromocriptine Versus Trans...
- Endoscopic Endonasal Transsphenoidal Approach From...
- A Surgical Technique for Management of the Metopic...
- Survey of Ocular Prosthetics Rehabilitation in the...
- Efficacy and Safety of Willis Covered Stent for Tr...
- The Rapid Development of Squamous Cell Carcinoma o...
- Inappropriate Management After Accidental Displace...
- A Rare Case of Malignant Fibrous Histiocytoma (Und...
- Real Opportunity for the Present and a Forward Ste...
- Methotrexate Induces Apoptosis in Organ-Cultured N...
- The Making of a Skull Base Team and the Value of M...
- Using the Endoscopic Transconjunctival and Transca...
- Overview of Sinonasal and Ventral Skull Base Malig...
- The Role of Chemotherapy in the Management of Sino...
- Survival, Morbidity, and Quality-of-Life Outcomes ...
- Editorial Board
- Overview of Sinonasal and Ventral Skull Base Malig...
- The Making of a Skull Base Team and the Value of M...
- The Role of Chemotherapy in the Management of Sino...
- Survival, Morbidity, and Quality-of-Life Outcomes ...
- Validation of a new snoring detection device based...
- Facial nerve paralysis associated with temporal bo...
- Tell me how pleased you are with your workplace, a...
- The suppressive effects of landiolol administratio...
- Validation of a new snoring detection device based...
- How Do Adolescent Students Perceive Aging Teachers...
- Facial nerve paralysis associated with temporal bo...
- Murine models of germinal center derived-lymphomas
-
▼
Φεβ 01
(358)
- ► Ιανουαρίου (10529)
-
►
2016
(16402)
- ► Δεκεμβρίου (7478)
- ► Φεβρουαρίου (900)
- ► Ιανουαρίου (1250)
! # Ola via Alexandros G.Sfakianakis on Inoreader
Η λίστα ιστολογίων μου
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Αρχειοθήκη ιστολογίου
-
►
2023
(391)
- ► Φεβρουαρίου (200)
- ► Ιανουαρίου (191)
-
►
2022
(2843)
- ► Δεκεμβρίου (161)
- ► Σεπτεμβρίου (219)
- ► Φεβρουαρίου (264)
- ► Ιανουαρίου (280)
-
►
2021
(5625)
- ► Δεκεμβρίου (231)
- ► Σεπτεμβρίου (345)
- ► Φεβρουαρίου (620)
-
►
2020
(2065)
- ► Δεκεμβρίου (535)
- ► Σεπτεμβρίου (222)
- ► Φεβρουαρίου (28)
-
►
2019
(9608)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3791)
- ► Ιανουαρίου (3737)
-
►
2018
(69720)
- ► Δεκεμβρίου (3507)
- ► Σεπτεμβρίου (3851)
- ► Φεβρουαρίου (8116)
- ► Ιανουαρίου (7758)
-
▼
2017
(111579)
- ► Δεκεμβρίου (7718)
- ► Σεπτεμβρίου (7549)
-
▼
Φεβρουαρίου
(10753)
-
▼
Φεβ 01
(358)
- Covalent Growth Factor Tethering to Direct Neural ...
- Study of efficacy of esthetic High-Intensity Focus...
- The efficacy study of the combination of tripeptid...
- Chemotherapy-induced alopecia management: Clinical...
- Study of efficacy of esthetic High-Intensity Focus...
- The efficacy study of the combination of tripeptid...
- Chemotherapy-induced alopecia management: Clinical...
- Characterizing the detectability of emission signa...
- Public member dose assessment of Bushehr Nuclear P...
- Radioactivity levels in the mostly local foodstuff...
- Duplication Anomalies of the Internal Auditory Can...
- Duplication Anomalies of the Internal Auditory Can...
- Coercive Control, Physical Violence, and Masculinity
- Treatment pattern and frequency of serum TSH measu...
- Primary Thyroid Carcinoma with Low-Risk Histology ...
- Effects of Adequate Iodine Supply on the Incidence...
- Acknowledgment of Reviewers
- Shigenobu Nagataki (January 18, 1932–November 12, ...
- Future Meetings
- Primary Thyroid Carcinoma with Low-Risk Histology ...
- Effects of Adequate Iodine Supply on the Incidence...
- Acknowledgment of Reviewers
- Shigenobu Nagataki (January 18, 1932–November 12, ...
- Future Meetings
- Blockage of androgen and administration of estroge...
- Quantifying 125I placement accuracy in prostate br...
- MRI in prostate brachytherapy: Evidence, clinical ...
- Dosimetric and radiobiologic comparison of 103Pd C...
- Deformable image registration for cervical cancer ...
- Brachytherapy boost for prostate cancer: Trends in...
- New application of three-dimensional printing biom...
- Adjuvant radiotherapy is not supported in patients...
- Target volume and artifact evaluation of a new dat...
- Improving patient safety and workflow efficiency w...
- New application of three-dimensional printing biom...
- Adjuvant radiotherapy is not supported in patients...
- [Current position of new fixed-dose combination of...
- Validation of a new snoring detection device based...
- Facial nerve paralysis associated with temporal bo...
- MEG and EEG demonstrate similar test-retest reliab...
- Vemurafenib-induced toxic epidermal necrolysis: is...
- Diagnostic Agreement and Interobserver Concordance...
- Use of Topical Glucocorticoids: a Population-Based...
- A Case of Eosinophilic Fasciitis Associated with P...
- Thermoplastic polyurethanes from β-methyl-δ-valero...
- A processing method with high efficiency for low d...
- Size control of aromatic polyamide hollow spheres ...
- Modeling the formation of layered, amphiphilic gels
- Microspheres of polyurethanes functionalized with ...
- Facile preparation of hydrogen-bonded supramolecul...
- An abnormal melting behavior of isotactic polyprop...
- Investigation of the biocompatibility and cytotoxi...
- Preparation and properties of positively charged m...
- Rheological behavior of polyacrylonitrile and poly...
- Dynamic, ultra-pH-sensitive graft copolymer micell...
- Impact of carbon nanotube prelocalization on the u...
- A Characterization of Cancer Patients in Inpatient...
- Letter from the Guest Editor: Pelvic MR Imaging
- Speech-Language Pathologists' Use of Hearing Scree...
- Methylphenidate effects on P300 responses from chi...
- Fully-covered metallic stenting in an infant with ...
- Upper Eyelid Reconstruction Using a Blepharoplasty...
- Effect of nebulized budesonide on decreasing the r...
- Effect of nebulized budesonide on decreasing the r...
- Is Surgical Navigation Useful During Closed Reduct...
- Relations of Facial Nerve With Retromandibular Vei...
- Characteristics of Pediatric Cheek Mass.
- Anatomical Study of the Infraorbital Nerve and Sur...
- Reconstruction of Extensive Orbital Exenteration D...
- Open Reduction in Pediatric Condylar Fracture.
- Is Presence of Vascular Loop in Magnetic Resonance...
- Combined Endoscopic and Trans Palpebral Orbital Re...
- An Economic Analysis of Bromocriptine Versus Trans...
- Endoscopic Endonasal Transsphenoidal Approach From...
- A Surgical Technique for Management of the Metopic...
- Survey of Ocular Prosthetics Rehabilitation in the...
- Efficacy and Safety of Willis Covered Stent for Tr...
- The Rapid Development of Squamous Cell Carcinoma o...
- Inappropriate Management After Accidental Displace...
- A Rare Case of Malignant Fibrous Histiocytoma (Und...
- Real Opportunity for the Present and a Forward Ste...
- Methotrexate Induces Apoptosis in Organ-Cultured N...
- The Making of a Skull Base Team and the Value of M...
- Using the Endoscopic Transconjunctival and Transca...
- Overview of Sinonasal and Ventral Skull Base Malig...
- The Role of Chemotherapy in the Management of Sino...
- Survival, Morbidity, and Quality-of-Life Outcomes ...
- Editorial Board
- Overview of Sinonasal and Ventral Skull Base Malig...
- The Making of a Skull Base Team and the Value of M...
- The Role of Chemotherapy in the Management of Sino...
- Survival, Morbidity, and Quality-of-Life Outcomes ...
- Validation of a new snoring detection device based...
- Facial nerve paralysis associated with temporal bo...
- Tell me how pleased you are with your workplace, a...
- The suppressive effects of landiolol administratio...
- Validation of a new snoring detection device based...
- How Do Adolescent Students Perceive Aging Teachers...
- Facial nerve paralysis associated with temporal bo...
- Murine models of germinal center derived-lymphomas
-
▼
Φεβ 01
(358)
- ► Ιανουαρίου (10529)
-
►
2016
(16402)
- ► Δεκεμβρίου (7478)
- ► Φεβρουαρίου (900)
- ► Ιανουαρίου (1250)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου