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      KCI등재 SCOPUS

      Aesthetic Design of Skin-Sparing Mastectomy Incisions for Immediate Autologous Tissue Breast Reconstruction in Asian Women

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      https://www.riss.kr/link?id=A104554492

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      다국어 초록 (Multilingual Abstract)

      Background: The advent of skin-sparing mastectomy has allowed for the reconstruction ofthe breast and nipple with improved cosmesis. However, the nipple-areolar complex (NAC) inAsian patients is more pigmented and scars easily. Therefore, commonly described incisionstend to result in poor aesthetic outcomes in Asian patients with breast cancer.
      Methods: We describe an algorithmic approach to skin-sparing mastectomy incisions inAsian patients on the basis of the location of the biopsy scar and the tumor site and size. Four incision types are described: peri-areolar, a peri-areolar incision with a second distantskin paddle, “racquet handle,” and peri-areolar with adjacent skin excision.
      Results: 281 immediate breast reconstructions were performed between May 2001 andFebruary 2012 after skin-sparing mastectomy. The mastectomy incisions used included theperi-areolar design (n=124, 44%), peri-areolar design with a second distant skin paddle(n=39, 14%), “racquet handle” (n=21, 7.5%), and peri-areolar design with adjacent skinexcision (n=42, 14%). The traditional elliptical incision and other variants where the NACoutline was not preserved were performed in the remaining 55 patients. The average followupwas 44.7 months during which there was 1 case of total flap loss and 7 cases of partial flapnecrosis; all remaining flaps survived. 24% of the patients (68/281) underwent subsequentnipple reconstruction.
      Conclusions: Our algorithm avoids breast incisions that are randomly placed or excessivelylong and prevents the unnecessary sacrifice of normal breast skin. This allows skin-sparingmastectomy and immediate breast reconstruction to be performed with a consistentlyachievable aesthetic result in Asian women without neglecting oncological safety.
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      Background: The advent of skin-sparing mastectomy has allowed for the reconstruction ofthe breast and nipple with improved cosmesis. However, the nipple-areolar complex (NAC) inAsian patients is more pigmented and scars easily. Therefore, commonly des...

      Background: The advent of skin-sparing mastectomy has allowed for the reconstruction ofthe breast and nipple with improved cosmesis. However, the nipple-areolar complex (NAC) inAsian patients is more pigmented and scars easily. Therefore, commonly described incisionstend to result in poor aesthetic outcomes in Asian patients with breast cancer.
      Methods: We describe an algorithmic approach to skin-sparing mastectomy incisions inAsian patients on the basis of the location of the biopsy scar and the tumor site and size. Four incision types are described: peri-areolar, a peri-areolar incision with a second distantskin paddle, “racquet handle,” and peri-areolar with adjacent skin excision.
      Results: 281 immediate breast reconstructions were performed between May 2001 andFebruary 2012 after skin-sparing mastectomy. The mastectomy incisions used included theperi-areolar design (n=124, 44%), peri-areolar design with a second distant skin paddle(n=39, 14%), “racquet handle” (n=21, 7.5%), and peri-areolar design with adjacent skinexcision (n=42, 14%). The traditional elliptical incision and other variants where the NACoutline was not preserved were performed in the remaining 55 patients. The average followupwas 44.7 months during which there was 1 case of total flap loss and 7 cases of partial flapnecrosis; all remaining flaps survived. 24% of the patients (68/281) underwent subsequentnipple reconstruction.
      Conclusions: Our algorithm avoids breast incisions that are randomly placed or excessivelylong and prevents the unnecessary sacrifice of normal breast skin. This allows skin-sparingmastectomy and immediate breast reconstruction to be performed with a consistentlyachievable aesthetic result in Asian women without neglecting oncological safety.

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      참고문헌 (Reference)

      1 Teo SY, "Young breast cancer in a specialised breast unit in singapore: clinical, radiological and pathological factors" 43 : 79-85, 2014

      2 Hammond DC, "Use of a skin-sparing reduction pattern to create a combination skin-mus-cle flap pocket in immediate breast reconstruction" 110 : 206-211, 2002

      3 Zenn MR, "Unilateral nipple reconstruction with nipple sharing: time for a second look" 123 : 1648-1653, 2009

      4 Kroll SS, "The oncologic risks of skin preservation at mastectomy when combined with im-mediate reconstruction of the breast" 172 : 17-20, 1991

      5 Romics L Jr, "Ten-year fol-low-up of skin-sparing mastectomy followed by immediate breast reconstruction" 99 : 799-806, 2012

      6 Carlson GW, "Technical advances in skin sparing mastectomy" 2011 : 396901-, 2011

      7 Benelli LC, "Surgery of the breast:principles and art" Lippincott-Raven 685-696, 1998

      8 Slavin SA, "Skin-sparing mastecto-my and immediate reconstruction: oncologic risks and aes-thetic results in patients with early-stage breast cancer" 102 : 49-62, 1998

      9 Stradling BL, "Skin-sparing mastec-tomy with sentinel lymph node dissection: less is more" 136 : 1069-1075, 2001

      10 Chagpar AB, "Skin-sparing and nipple-sparing mastectomy:preoperative, intraoperative, and postoperative considerations" 70 : 425-432, 2004

      1 Teo SY, "Young breast cancer in a specialised breast unit in singapore: clinical, radiological and pathological factors" 43 : 79-85, 2014

      2 Hammond DC, "Use of a skin-sparing reduction pattern to create a combination skin-mus-cle flap pocket in immediate breast reconstruction" 110 : 206-211, 2002

      3 Zenn MR, "Unilateral nipple reconstruction with nipple sharing: time for a second look" 123 : 1648-1653, 2009

      4 Kroll SS, "The oncologic risks of skin preservation at mastectomy when combined with im-mediate reconstruction of the breast" 172 : 17-20, 1991

      5 Romics L Jr, "Ten-year fol-low-up of skin-sparing mastectomy followed by immediate breast reconstruction" 99 : 799-806, 2012

      6 Carlson GW, "Technical advances in skin sparing mastectomy" 2011 : 396901-, 2011

      7 Benelli LC, "Surgery of the breast:principles and art" Lippincott-Raven 685-696, 1998

      8 Slavin SA, "Skin-sparing mastecto-my and immediate reconstruction: oncologic risks and aes-thetic results in patients with early-stage breast cancer" 102 : 49-62, 1998

      9 Stradling BL, "Skin-sparing mastec-tomy with sentinel lymph node dissection: less is more" 136 : 1069-1075, 2001

      10 Chagpar AB, "Skin-sparing and nipple-sparing mastectomy:preoperative, intraoperative, and postoperative considerations" 70 : 425-432, 2004

      11 Carlson GW, "Skin sparing mastectomy: anatomic and tech-nical considerations" 62 : 151-155, 1996

      12 Moyer HR, "Predicting mastectomy skin flap ne-crosis with indocyanine green angiography: the gray area defined" 129 : 1043-1048, 2012

      13 Losken A, "Nipple reconstruc-tion using the C-V flap technique: a long-term evaluation" 108 : 361-369, 2001

      14 Toth BA, "Modified skin incisions for mastecto-my: the need for plastic surgical input in preoperative planning" 87 : 1048-1053, 1991

      15 Missana MC, "Long-term onco-logical results after 400 skin-sparing mastectomies" 150 : 313-320, 2013

      16 Seifert O, "Keloid scarring: bench and bedside" 301 : 259-272, 2009

      17 Komorowska-Timek E, "Intraoperative perfu-sion mapping with laser-assisted indocyanine green imaging can predict and prevent complications in immediate breast reconstruction" 125 : 1065-1073, 2010

      18 Bensimon RH, "Improved aesthetics in breast reconstruction: modified mastectomy incision and immediate autologous tissue reconstruction" 34 : 229-233, 1995

      19 Elliott LF, "Immediate TRAM flap breast reconstruction: 128 consecutive cases" 92 : 217-227, 1993

      20 Grotting JC, "Conventional TRAM flap versus free microsurgical TRAM flap for imme-diate breast reconstruction" 83 : 828-841, 1989

      21 Kinoshita S, "Clinical comparison of four types of skin incisions for skin-sparing mastectomy and immediate breast reconstruction" 2013

      22 Serletti JM, "Breast reconstruction with the TRAM flap:pedicled and free" 94 : 532-537, 2006

      23 Hidalgo DA, "Aesthetic refinement in breast reconstruction:complete skin-sparing mastectomy with autogenous tissue transfer" 102 : 63-70, 1998

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2012-01-15 학술지명변경 한글명 : 대한성형외과 학회지 -> Archives of Plastic Surgery
      외국어명 : Journal of The Korean Society of Plastic and Reconstructive Surgeons -> Archives of Plastic Surgery
      KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2001-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.12 0.12 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.12 0.11 0.335 0.02
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