METHOD OF RECONSTRUCTING THE NIPPLE WHEN THE TUMOR IS LOCATED IN THE CENTRAL ZONE OF THE GLAND WITH THE USE OF AN ALLOIMPLANT BASED ON THE DURA MATER Russian patent published in 2021 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to reconstructive breast surgery in breast cancer patients. Performing preoperative marking according to the type of reduction mammoplasty T-invers, according to Fig. 1: setting point "a", measuring 19-21 cm from middle clavicle to teat, then from point "a" on medial meridian is measured 2 cm and put point "b", from point "b" is measured 1 cm and put point "c", creating in form of oval lobe with size of 1.0×1.5 cm. Similarly, lateral and subcutaneous removal of breast tissue is performed in the same manner and breast is formed with the help of a silicone implant skin-subcutaneous flaps are closed in layers. Base of the future nipple is fixed with a purse-string suture with a grip of the lateral and medial lobes. Dental plex folded in the form of a roll is placed in a bed between which the dura mater (DM) flap is fixed, around which the lateral and medial lobes are fixed around the nasal sutures to form a nipple.

EFFECT: method enables one-stage nipple reconstruction in case of its removal in skin mastectomy and oncoplastic resections; delayed nipple reconstruction following conventional mastectomy; achieve a long-term aesthetic effect due to a good projection of the nipple after establishing a flap DM, symmetry of mammary glands - operated and healthy; improving quality of life of patients after complex treatment for breast cancer.

1 cl, 1 ex, 10 dwg