Nipple and Breast Anatomy
Fig. 2.1 Plate VI Figure 2 Mammary ducts injected with red, yellow, black, green, and brown. (From Cooper A. On the anatomy of the breast. London: Longman; 1840 with permission)…
Nipple-Sparing Mastectomy in the Large, Ptotic Breast
Fig. 7.1 Buttonhole preoperative marking showing the curved horizontal line defining the lower border of the upper flap. The upper flap is buttonholed to receive the nipple-areola that is carried…
The American Society of Breast Surgeons Nipple-Sparing Mastectomy Registry
Nipple/NAC # of mastectomies No Ischemia 232 (88 %) Ischemia (any degree) 33 (12 %) Surgical debridement 3 (1 %) Excision 1 (0.3 %) Epidermolysis w/full recovery 29 (11 %)…
Reducing Complications and Margin Issues with Nipple-Sparing Mastectomy
Complication Reported incidence (range), % Pulmonary embolus [4–6] 0–0.2 Cardiac event [6] <0.1 Deep venous thrombosis [4–7] 0.3–0.7 Pneumonia [6] 0.2 Bleeding [4, 5, 7] 0.4–11.6 Infection (cellulitis) [4, 6,…
Experience with Postmastectomy Radiation Therapy in Nipple-Sparing Mastectomy
Fig. 17.1 (a) Thirty-nine-year-old female with right breast invasive ductal carcinoma , following right nipple-sparing mastectomy, tissue expander placement, and postmastectomy radiation therapy. The right breast has healed and the…
The Science Behind Fat Grafting and Acellular Dermal Matrices
Fig. 20.1 The Kronowitz technique of utilizing complete coverage of an inflated tissue expander or breast implant with ADM. The pectoralis major muscle is then sewn to the ADM in…
Plastic Surgery Considerations in Reconstruction After Nipple-Sparing Mastectomy
Fig. 12.1 A 42-year-old female with stage 1 right breast cancer who also desired a left prophylactic mastectomy . Preoperative views (a, b, and c) the patient had C-cup-sized breasts…
Patient Selection and Breast Imaging
Absolute contraindications to nipple-sparing mastectomy Extensive tumor involvement of the skin (that does not resolve with neoadjuvant chemotherapy, if administered) Inflammatory breast cancer Paget’s disease of the nipple Clinically suspicious…
The Evolution of Nipple-Sparing Mastectomy (NSM)
© Springer International Publishing Switzerland 2017Jay K. Harness and Shawna C. Willey (eds.)Operative Approaches to Nipple-Sparing Mastectomy10.1007/978-3-319-43259-5_1 1. The Evolution of Nipple-Sparing Mastectomy (NSM) Jay K. Harness1, 2 (1) Center For Cancer Prevention and Treatment, St. Joseph…
Stress and Atopic Dermatitis
Fig. 12.1 The relationship between stress and three common skin conditions The Combined Approach to Atopic Dermatitis [7, 8] Background The nervous origins of some aspects of AD were indicated…
