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CASE REPORT Successful Breast Reconstruction in a Patient With Epidermolysis Bullosa

Objectives: Epidermolysis bullosa is a rare skin disorder characterized by blister formation in response to minor trauma as well as extracutaneous manifestations. Details of the surgical history and technical considerations for performing breast reconstruction in a patient with epidermolysis bullosa...

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Detalles Bibliográficos
Autores principales: Albornoz, Claudia R., Goldstein, Jane, Hespe, Geoffrey E., Sacchini, Virgilio, Matros, Evan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549581/
https://www.ncbi.nlm.nih.gov/pubmed/23359845
Descripción
Sumario:Objectives: Epidermolysis bullosa is a rare skin disorder characterized by blister formation in response to minor trauma as well as extracutaneous manifestations. Details of the surgical history and technical considerations for performing breast reconstruction in a patient with epidermolysis bullosa are discussed. Method: The history and details of breast reconstruction in a patient with epidermolysis bullosa are reported. Result: A 56-year-old patient with junctional epidermolysis bullosa developed left breast cancer, which was initially treated with lumpectomy. Two years later, a completion total mastectomy was performed for recurrent disease with immediate 2-stage implant-based reconstruction. Nipple reconstruction was completed using a skate flap technique with full-thickness skin graft harvested from the groin region. No blistering, infection, or wound dehiscence was observed. Conclusions: Successful immediate implant breast reconstruction is feasible in patients with epidermolysis bullosa. Reconstructive decision-making should be individualized based on the extent and severity of the skin disease.