Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction

Background. Female patients presenting amastia associated with ectodermal dysplasia are not frequently encountered, but they are of great clinical interest and surgically demanding. Traditionally, skin alterations related to Ectodermal Dysplasia have addressed plastic surgeons to perform a two-stage...

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Main Authors: M. Klinger, F. Caviggioli, B. Banzatti, C. Fossati, F. Villani
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/927354
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author M. Klinger
F. Caviggioli
B. Banzatti
C. Fossati
F. Villani
author_facet M. Klinger
F. Caviggioli
B. Banzatti
C. Fossati
F. Villani
author_sort M. Klinger
collection DOAJ
description Background. Female patients presenting amastia associated with ectodermal dysplasia are not frequently encountered, but they are of great clinical interest and surgically demanding. Traditionally, skin alterations related to Ectodermal Dysplasia have addressed plastic surgeons to perform a two-stage approach in amastia associated with this congenital pathologic condition. This article describes an alternative method for correcting this deformity trough a mammary reconstruction in one surgical stage. Materials and Methods. We report a case of 26-year-old female patient with bilateral amastia associated with ectodermal dysplasia. Amastia in this patient was treated with implantation of subpectoral silicone gel prostheses, without previously breast tissue expansion. Results. At 18 months of follow-up after surgey, there were no complications and excellent cosmetic results were achieved. Patient and surgeon satisfaction was high and the patient underwent a bilateral areola-tattoo. Conclusions. One-stage mammary reconstruction have showed to be a reliable and effective technique also when amastia is associated with Ectodermal Dysplasia, suggesting a still satisfying biomechanical performance of the skin in this pathology.
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institution Kabale University
issn 1687-9627
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spelling doaj-art-18e7a3dd81dc4cc99fbdae58b9a9ad6d2025-08-20T03:54:12ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/927354927354Ectodermal Dysplasia with Amastia: A Case of One-Step ReconstructionM. Klinger0F. Caviggioli1B. Banzatti2C. Fossati3F. Villani4Unità Operativa di Chirurgia Plastica 2, Cattedra di Chirurgia Plastica, Istituto Clinico Humanitas (IRCCS), Università degli Studi di Milano, Via Manzoni 56, 20089 Rozzano, ItalyUnità Operativa di Chirurgia Plastica 2, Cattedra di Chirurgia Plastica, Istituto Clinico Humanitas (IRCCS), Università degli Studi di Milano, Via Manzoni 56, 20089 Rozzano, ItalyUnità Operativa di Chirurgia Plastica 2, Cattedra di Chirurgia Plastica, Istituto Clinico Humanitas (IRCCS), Università degli Studi di Milano, Via Manzoni 56, 20089 Rozzano, ItalyUnità Operativa di Chirurgia Plastica 2, Cattedra di Chirurgia Plastica, Istituto Clinico Humanitas (IRCCS), Università degli Studi di Milano, Via Manzoni 56, 20089 Rozzano, ItalyUnità Operativa di Chirurgia Plastica 2, Cattedra di Chirurgia Plastica, Istituto Clinico Humanitas (IRCCS), Università degli Studi di Milano, Via Manzoni 56, 20089 Rozzano, ItalyBackground. Female patients presenting amastia associated with ectodermal dysplasia are not frequently encountered, but they are of great clinical interest and surgically demanding. Traditionally, skin alterations related to Ectodermal Dysplasia have addressed plastic surgeons to perform a two-stage approach in amastia associated with this congenital pathologic condition. This article describes an alternative method for correcting this deformity trough a mammary reconstruction in one surgical stage. Materials and Methods. We report a case of 26-year-old female patient with bilateral amastia associated with ectodermal dysplasia. Amastia in this patient was treated with implantation of subpectoral silicone gel prostheses, without previously breast tissue expansion. Results. At 18 months of follow-up after surgey, there were no complications and excellent cosmetic results were achieved. Patient and surgeon satisfaction was high and the patient underwent a bilateral areola-tattoo. Conclusions. One-stage mammary reconstruction have showed to be a reliable and effective technique also when amastia is associated with Ectodermal Dysplasia, suggesting a still satisfying biomechanical performance of the skin in this pathology.http://dx.doi.org/10.1155/2009/927354
spellingShingle M. Klinger
F. Caviggioli
B. Banzatti
C. Fossati
F. Villani
Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction
Case Reports in Medicine
title Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction
title_full Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction
title_fullStr Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction
title_full_unstemmed Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction
title_short Ectodermal Dysplasia with Amastia: A Case of One-Step Reconstruction
title_sort ectodermal dysplasia with amastia a case of one step reconstruction
url http://dx.doi.org/10.1155/2009/927354
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AT fcaviggioli ectodermaldysplasiawithamastiaacaseofonestepreconstruction
AT bbanzatti ectodermaldysplasiawithamastiaacaseofonestepreconstruction
AT cfossati ectodermaldysplasiawithamastiaacaseofonestepreconstruction
AT fvillani ectodermaldysplasiawithamastiaacaseofonestepreconstruction