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KMID : 0602920050110010172
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Journal of the Korean Society of Aesthetic Plastic Surgery
2005 Volume.11 No. 1 p.172 ~ p.176
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A Simple Method with Alloderm® Graft for the Correction of the Inverted Nipple
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Min Kyung-Hee
Hong Sung-Hee
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Abstract
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Inverted nipple is a condition in which a portion of or entire nipple is buried inward the lactiferous duct. It causes aesthetic, functional and psychological problems and troublesome in breast feeding.Many techniques have been introduced for surgical invasion and preserve blood and nerve supply to the nipple, lactiferous function and aesthetic satisfaction. Although satisfactory outcome has been reported, each method carries a drawback in the technique, including nipple sensory change, vascular compromise, faulty lactation and incomplete correction.We corrected inverted nipples in 7 patients that desired scarless operation and breast feeding. We devised a simple procedure, modified Teimourian method. The retracted nipple is held with 2 traction sutures and then 2 small incisions are made at 3 and 9 o’clock positions. The fibrous tissue beneath the inverted nipples are released by blunt dissection. The Alloderm is inserted to give bulkiness to the nipple. A 4-0 blue nylon buried purse-string suture is placed at the base of nipple to compensate for the eversion of nipple. The everted nipple is maintained by a Sombrero splint with steri strips.We obtained satisfactory projection without major complications in all patients except in grade III patient is reduced eversion of nipples.
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KEYWORD
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Inverted nipple, Alloderm graft, Purse-string suture, Sombrero splint
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