case_images: PMC11757860_01
case_images: Preoperative MRI and ultrasonography revealed intraductal spread to the nipple. Arrow, intraductal spread to the nipple; arrowhead: cancer lesion. a MRI. b Ultrasonography
case_images: 595_2024_2892_Fig1_HTML.jpg
case_images: PMC11757860_01_595_2024_2892_Fig1_HTML.jpg
case_images: Fig1
case_images: Preoperative MRI and ultrasonography revealed intraductal spread to the nipple (Fig. 1). All layers in the 6:00-8:00 area and the superficial layer in the 4:00-6:00 area were rotated medially to repair the breast defect (Fig. 1d). One stitch using an absorbable thread was added to the bottom of the empty space of the nipple to prevent falling of the reconstructed nipple (Fig. 1e).
case_images: Procedure of OBS using V-mammoplasty. a A fan-shaped area in the direction of 8:00 from 7:00 and the crescent area surrounding the inframammary line and its caudal curve were de-epithelialized. b A continuous spiral incision was made into the superficial layer of the cylindrical surface of the nipple. We then peeled 3 laps into a continuous spiral. c Columnar-shaped breast tissue with the nipple was resected via direct incision at 8:00. d A skin-glandular flap in the direction of 6:00-8:00 and the superficial layer of the breast from 4:00 to 6:00 were rotated medially to repair the breast defect. e One stitch using an absorbable thread was added to the bottom of the empty space of the nipple to prevent falling of the reconstructed nipple. e The cord-formed peeled nipple was piled up in a spiral and sutured
case_images: 595_2024_2892_Fig2_HTML.jpg
case_images: PMC11757860_01_595_2024_2892_Fig2_HTML.jpg
case_images: Fig2
case_images: Two inframammary curves were drawn to determine the area of de-epithelialization (Figs. 2a, 5a). First, a fan-shaped area in the direction of 8:00 from 7:00, and the crescent area surrounding the inframammary line and its caudal curve were de-epithelialized (Fig. 2a). We made a continuous spiral incision into the superficial layer of the cylindrical surface of the nipple (Figs. 2b, 3a). We then peeled 3 laps in a continuous spiral (Figs. 2b, 3b). The core tissue of the nipple with columnar-shaped breast tissue was resected via direct incision at 8:00 (Figs. 2c, 3c). The cord-formed peeled nipple was piled in a spiral and sutured using 5-0 nylon (Figs. 2f, 4d).
case_images: A schematic illustration of nipple reconstruction. a A continuous incision line was drawn on the nipple surface using a spiral. b A continuous incision was made on the superficial layer of the cylindrical surface of the nipple in a spiral and peeled in a continuous spiral for three laps. c The nipple was divided into an internal tissue and a cord-formed nipple surface. d The cord-formed nipple was piled up and sutured
case_images: 595_2024_2892_Fig3_HTML.jpg
case_images: PMC11757860_01_595_2024_2892_Fig3_HTML.jpg
case_images: Fig3
case_images: We made a continuous spiral incision into the superficial layer of the cylindrical surface of the nipple (Figs. 2b, 3a). We then peeled 3 laps in a continuous spiral (Figs. 2b, 3b). The core tissue of the nipple with columnar-shaped breast tissue was resected via direct incision at 8:00 (Figs. 2c, 3c).
case_images: Macroscopic findings at the end of the operation
case_images: 595_2024_2892_Fig4_HTML.jpg
case_images: PMC11757860_01_595_2024_2892_Fig4_HTML.jpg
case_images: Fig4
case_images: The cord-formed peeled nipple was piled in a spiral and sutured using 5-0 nylon (Figs. 2f, 4d). The final findings are shown in Fig. 4.
case_images: Preoperative (a) and 2-year postoperative findings (b, c). a Preoperative design. b The breast shape, size, and position of the NAC were symmetrical at 2-years postoperatively. c Good projection of the reconstructed nipple was achieved
case_images: 595_2024_2892_Fig5_HTML.jpg
case_images: PMC11757860_01_595_2024_2892_Fig5_HTML.jpg
case_images: Fig5
case_images: Two inframammary curves were drawn to determine the area of de-epithelialization (Figs. 2a, 5a).