Research Article
Volume 10 Issue 5 - 2021
The Blood Supply to the Nipple-Areolar Complex. A Literature Review
Yury S Egorov1 and Artur K Dzottsoev2*
1Professor, Department of Plastic Surgery, Russian Medical Academy of Continuous Professional Education, Moscow, Russia
2Plastic Surgeon of CPS Ltd, Moscow, Russias
*Corresponding Author: Artur K Dzottsoev, Plastic Surgeon of CPS Ltd, Moscow, Russia.
Received: April 07, 2020; Published: April 12, 2021




Abstract

Introduction: The review of the articles, which explain the blood supply to the nipple-areolar complex (NAC), is presented in this article.

Objectives: Clarifying the blood supply to the NAC.

Materials and Methods: The continuous sampling method that has been used in scientific databases' articles, which satisfy three criteria: the descriptions of the NAC's blood supply variety, the description of some blood sources, and the anatomic substantiation. The available anatomic and surgical textbooks were also analyzed.

Results: In clinical use the NAC vascularity was grouped in three systems: superficial medial, deep central and mixed lateral. The medial system shows maximal anatomic stability. It consists of superficial branches of a.thoracica interna and a more superficial venous system, which flows into the v.thoracica interna system. The central system includes the a. thoracoacromialis and aa. Intercostales perforators. They support the medial and lateral vascular systems by anastomosing with them on various levels. Occasionally this system is the main system that supplies the NAC (in 1,92% cases). The lateral system consist of vessels which variably originate from a.thoracica lateralis, a.axillaris and a. thoracoacromialis. There is the only one superficial a.thoracica superficialis in this zone, which goes to the NAC in subdermal fatty layer in 14% cases, others originate deeply. Some of them going directly from deep to the NAC.

Conclusion: In extensive resections the medial vascular system can be used for NAC preservation. Should not use the only central vascular system, because then the NAC’s necrosis risks are increased. This system can be used only as a supplement. The lateral system can be used for NAC preservation only if the blood supply is confirmed. The medial vascular system underlies the thin superomedial NAC pedicle, but its' safety requires additional analysis.

Keywords: Breast Anatomy; Blood Supply to the NAC; Nipple-Areolar Complex

References

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Citation: Yury S Egorov and Artur K Dzottsoev. “The Blood Supply to the Nipple-Areolar Complex. A Literature Review”. EC Gynaecology 10.5 (2020): 37-43.

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