The Domeless Arrow Flap: A Strategy to Enhance Realism in Reconstructed Nipples.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI:10.1097/GOX.0000000000006804

Giorgio Caddia, Paul Frobert, Emmanuel Delay, Maria A Dammacco

引用次数: 0

Abstract

The domeless arrow flap (DAF) introduces a simple yet effective technique for nipple reconstruction, enhancing realism by omitting the cap of the traditional arrow flap. This innovative approach allows secondary intention healing to create an irregular scar, mimicking the natural rough texture of a real nipple. Applied to 24 patients across 25 autologous breast reconstructions, the DAF achieved the best results on latissimus dorsi flaps (44% mean projection retention) and the poorest on thoracic irradiated skin (28%). Easy to perform and complication-free, the DAF is a reliable option that combines simplicity with natural aesthetics, making it a valuable addition to a surgeon's arsenal.

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无圆顶箭头皮瓣：一种提高乳头重建真实感的策略。

无顶盖箭头皮瓣（DAF）介绍了一种简单而有效的乳头重建技术，通过省略传统箭头皮瓣的帽子来增强真实感。这种创新的方法允许二次意图愈合创造一个不规则的疤痕，模仿真实乳头的自然粗糙纹理。应用于25例自体乳房重建的24例患者，DAF在背阔肌皮瓣上取得了最好的效果（平均投影保留率为44%），在胸部辐照皮肤上取得了最差的效果（28%）。DAF操作简单，无并发症，是一种可靠的选择，它结合了简单性和自然美学，使其成为外科医生武器库中有价值的补充。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.