Oncologic Safety of Skin-Sparing and Nipple-Sparing Mastectomy: A Discussion and Review of the Literature

Table 3

Rate of NAC loss following NSM.

Author	Year	Number of Pts	NA complex loss	Incision
Petit et al. [16]	2003	27	3.7% total, 7.4% partial
Gerber et al. [17]	2003	112	0% total, 9.8% partial
Crowe et al. [18]	2004	54	0% total, 6% partial	Medial led to all 3 losses (6%), then used lateral
Petit et al. [19]	2006	106	4.7% total, 10.4% partial	Ellipse overlying previous biopsy site
Caruso et al. [20]	2006	50	0.02% total
Sacchini et al. [21]	2006	192	4.7% >2/3 area loss, 11.45% partial	Primarily PA^* with lateral extension
Crowe et al. [22]	2008	149	0.67% total, 1.3% partial	Lateral
Regolo et al. [23]	2008	102	60% in first 32 (periareolar incision), 2.8% NAC complication rate thereafter	Primarily PA, then lateral
Wijayanayagam et al. [24]	2008	64	5% total, 16% partial	97% NA survival in radial, if PA > 1/3 NA circumference blood supply compromised
Stolier et al. [25]	2008	82	0%	6 o’clock radial
Sookhan et al. [26]	2008	18	0% total, 10% partial	Inframammary
Petit et al. [27]	2009	1001	3.5% total, 5.5% partial	Overlying previous biopsy
Paepke et al. [28]	2009	96	1%	Primarily PA, second inframammary
De Alcantara Filho et al. [29]	2011	353	19.5% partial, 3.3% required surgery