Envelope mastectomy and immediate reconstruction (EMIR), improving outcome without oncological compromise
To determine the long term oncological safety and aesthetic acceptability of envelope mastectomy and immediate reconstruction (EMIR). A retrospective review of 71 cases was carried out. Oncological assessment was by clinical examination, mammography, ultrasound, and, where indicated, MRI scan. Aesth...
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| Veröffentlicht in: | Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2006, Vol.59 (10), p.1025-1030 |
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| container_title | Journal of plastic, reconstructive & aesthetic surgery |
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| creator | Mosahebi, A. Ramakrishnan, V. Gittos, M. Collier, D.St.J. |
| description | To determine the long term oncological safety and aesthetic acceptability of envelope mastectomy and immediate reconstruction (EMIR).
A retrospective review of 71 cases was carried out. Oncological assessment was by clinical examination, mammography, ultrasound, and, where indicated, MRI scan. Aesthetic assessment was based on detailed clinical examination as well as subjective self-assessment of the outcome.
During follow-up (mean 48 months), there were three local recurrences, only one involving the nipple-areolar complex. The mean aesthetic score was 0.75 (out of 1), representing a good aesthetic outcome and patient satisfaction.
Nipple-areolar complex preservation is a safe option and EMIR produced a good aesthetic outcome, which is oncologically safe. Furthermore, it does not preclude post-operative radiotherapy. |
| doi_str_mv | 10.1016/j.bjps.2005.11.029 |
| format | Article |
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A retrospective review of 71 cases was carried out. Oncological assessment was by clinical examination, mammography, ultrasound, and, where indicated, MRI scan. Aesthetic assessment was based on detailed clinical examination as well as subjective self-assessment of the outcome.
During follow-up (mean 48 months), there were three local recurrences, only one involving the nipple-areolar complex. The mean aesthetic score was 0.75 (out of 1), representing a good aesthetic outcome and patient satisfaction.
Nipple-areolar complex preservation is a safe option and EMIR produced a good aesthetic outcome, which is oncologically safe. Furthermore, it does not preclude post-operative radiotherapy.</description><identifier>ISSN: 1748-6815</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2005.11.029</identifier><identifier>PMID: 16996423</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Breast ; Breast Implants ; Breast Neoplasms - pathology ; Breast Neoplasms - surgery ; Esthetics ; Female ; Humans ; Local recurrence ; Mammaplasty - methods ; Mastectomy ; Mastectomy - methods ; Medical sciences ; Middle Aged ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Patient Satisfaction ; Reconstruction ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Treatment Outcome</subject><ispartof>Journal of plastic, reconstructive & aesthetic surgery, 2006, Vol.59 (10), p.1025-1030</ispartof><rights>2006 The British Association of Plastic Surgeons</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c299t-f75c9e30d3426b3001a9e307c57dcfc237bd2c950e31215a80f6a1f04ca233473</citedby><cites>FETCH-LOGICAL-c299t-f75c9e30d3426b3001a9e307c57dcfc237bd2c950e31215a80f6a1f04ca233473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1748681506000842$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,4009,27902,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18173532$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16996423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mosahebi, A.</creatorcontrib><creatorcontrib>Ramakrishnan, V.</creatorcontrib><creatorcontrib>Gittos, M.</creatorcontrib><creatorcontrib>Collier, D.St.J.</creatorcontrib><title>Envelope mastectomy and immediate reconstruction (EMIR), improving outcome without oncological compromise</title><title>Journal of plastic, reconstructive & aesthetic surgery</title><addtitle>J Plast Reconstr Aesthet Surg</addtitle><description>To determine the long term oncological safety and aesthetic acceptability of envelope mastectomy and immediate reconstruction (EMIR).
A retrospective review of 71 cases was carried out. Oncological assessment was by clinical examination, mammography, ultrasound, and, where indicated, MRI scan. Aesthetic assessment was based on detailed clinical examination as well as subjective self-assessment of the outcome.
During follow-up (mean 48 months), there were three local recurrences, only one involving the nipple-areolar complex. The mean aesthetic score was 0.75 (out of 1), representing a good aesthetic outcome and patient satisfaction.
Nipple-areolar complex preservation is a safe option and EMIR produced a good aesthetic outcome, which is oncologically safe. Furthermore, it does not preclude post-operative radiotherapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Breast</subject><subject>Breast Implants</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Local recurrence</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy</subject><subject>Mastectomy - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplasm Staging</subject><subject>Patient Satisfaction</subject><subject>Reconstruction</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Treatment Outcome</subject><issn>1748-6815</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN1rFDEQwINUbD39B3woebEouGs-NrtZ6IuUUwsVQfQ55GZn2xy7yZlkT_rfm-MO-tanmWF-88GPkHec1Zzx9vO23mx3qRaMqZrzmon-BbngutMVU7I_K3nX6KrVXJ2T1yltGWskb9Qrcs7bvm8bIS-IW_s9TmGHdLYpI-QwP1LrB-rmGQdnM9KIEHzKcYHsgqcf1j9uf338VIBdDHvn72lYMoQZ6T-XH0pOg4cwhXsHdqKlUbDZJXxDXo52Svj2FFfkz9f175vv1d3Pb7c3X-4qEH2fq7FT0KNkg2xEu5GMcXsoO1DdACMI2W0GAb1iKLngymo2tpaPrAErpGw6uSJXx73l7t8FUzblOuA0WY9hSabVWrNGqAKKIwgxpBRxNLvoZhsfDWfmINhszUGwOQg2nJsiuAxdnrYvmyLoaeRktADvT4BNRcAYrQeXnjjNO6mkKNz1kcPiYu8wmgQOPRTpRXg2Q3DP_fEfOXea1w</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Mosahebi, A.</creator><creator>Ramakrishnan, V.</creator><creator>Gittos, M.</creator><creator>Collier, D.St.J.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Envelope mastectomy and immediate reconstruction (EMIR), improving outcome without oncological compromise</title><author>Mosahebi, A. ; Ramakrishnan, V. ; Gittos, M. ; Collier, D.St.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c299t-f75c9e30d3426b3001a9e307c57dcfc237bd2c950e31215a80f6a1f04ca233473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Breast</topic><topic>Breast Implants</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - surgery</topic><topic>Esthetics</topic><topic>Female</topic><topic>Humans</topic><topic>Local recurrence</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy</topic><topic>Mastectomy - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local</topic><topic>Neoplasm Staging</topic><topic>Patient Satisfaction</topic><topic>Reconstruction</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). 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Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mosahebi, A.</creatorcontrib><creatorcontrib>Ramakrishnan, V.</creatorcontrib><creatorcontrib>Gittos, M.</creatorcontrib><creatorcontrib>Collier, D.St.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mosahebi, A.</au><au>Ramakrishnan, V.</au><au>Gittos, M.</au><au>Collier, D.St.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Envelope mastectomy and immediate reconstruction (EMIR), improving outcome without oncological compromise</atitle><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2006</date><risdate>2006</risdate><volume>59</volume><issue>10</issue><spage>1025</spage><epage>1030</epage><pages>1025-1030</pages><issn>1748-6815</issn><eissn>1878-0539</eissn><abstract>To determine the long term oncological safety and aesthetic acceptability of envelope mastectomy and immediate reconstruction (EMIR).
A retrospective review of 71 cases was carried out. Oncological assessment was by clinical examination, mammography, ultrasound, and, where indicated, MRI scan. Aesthetic assessment was based on detailed clinical examination as well as subjective self-assessment of the outcome.
During follow-up (mean 48 months), there were three local recurrences, only one involving the nipple-areolar complex. The mean aesthetic score was 0.75 (out of 1), representing a good aesthetic outcome and patient satisfaction.
Nipple-areolar complex preservation is a safe option and EMIR produced a good aesthetic outcome, which is oncologically safe. Furthermore, it does not preclude post-operative radiotherapy.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>16996423</pmid><doi>10.1016/j.bjps.2005.11.029</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of plastic, reconstructive & aesthetic surgery, 2006, Vol.59 (10), p.1025-1030 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Biological and medical sciences Breast Breast Implants Breast Neoplasms - pathology Breast Neoplasms - surgery Esthetics Female Humans Local recurrence Mammaplasty - methods Mastectomy Mastectomy - methods Medical sciences Middle Aged Neoplasm Recurrence, Local Neoplasm Staging Patient Satisfaction Reconstruction Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Treatment Outcome |
| title | Envelope mastectomy and immediate reconstruction (EMIR), improving outcome without oncological compromise |
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