Abstract
Nipple necrosis is a potential complication of breast reduction and mastopexy procedures that can be prevented if the surgeon is acquainted with the arterial blood supply to the breast, particularly the nipple–areolar complex (NAC). A review of the latest research on this with its clinical application is given.
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References
Blondeel PN, Hamdi M, Koen HI, van de Sijpe KA, et al The laterocentral glandular pedicle technique for breast reduction. Br J Plast Surg 56:348–359, 2003
Cardenas-Camarena L, Vergara R Reduction mammaplasty with superolateral dermoglandular pedicle: Another alternative. Plast Reconstr Surg 107:693–699, 2001
Maliniac JW Arterial blood supply of the breast. Arch Surg 47:329–343, 1943
Manchot C Die hautarterien des menslichen korpers. Verlag von F.C.W. Vogel: Leipzig, 1889
Manderkas AD, Anastasopoulos A, Hanpes DA, et al Reduction mammaplasty with the inferior pedicle technique: Early and late complications in 371 patients. Br J Plast Surg 49:442–446, 1966
Marcus GH Untersuchungen uber die arterielle Blutversorgung der Mammila. Arch Klin Chir 179:361–369, 1934
O’Dey DM, Pallua N, Perscher A Vascular reliability of nipple–areola complex-bearing pedicles: An anatomical microdissection study. Plast Reconstr Surg 119:1167–1177, 2006
Palmer JH, Taylor GI The vascular territories of the anterior chest wall. Br J Plast Surg 39:287–299, 1986
Reid CD, Taylor GI The vascular territory of the acromiothoracic axis. Br J Plast Surg 37:194–212, 1984
van Deventer PV The blood supply to the nipple–areola complex of the human mammary gland. Aesth Plast Surg 27:393–398, 2004
Wuringer E, Mader N, Posch E, et al Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg 101:1486–1493, 1998
Wuringer E, Tschabitscher M New aspects of the topographical anatomy of the mammary gland regarding its neurovascular supply along a regular ligamentous suspension. Eur J Morph 40:181–189, 2004
Acknowledgments
The authors thank the Division of Anatomy and Histology at the University of Stellenbosch for the latex injections and the availability of female cadavers over a long period for dissection purposes.
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van Deventer, P.V., Page, B.J. & Graewe, F.R. The Safety of Pedicles in Breast Reduction and Mastopexy Procedures. Aesth Plast Surg 32, 307–312 (2008). https://doi.org/10.1007/s00266-007-9070-1
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DOI: https://doi.org/10.1007/s00266-007-9070-1