Multislice CT angiography as a roadmap for pedicle selection prior to breast reduction surgery.

Autor: Zakhary, Noura Yousef, Mubarak, Amr Ahmed, Elkhadrawy, Osama Helmy, Ismail, Elsayed Mandour
Zdroj: Egyptian Journal of Radiology & Nuclear Medicine; 9/16/2022, Vol. 53 Issue 1, p1-8, 8p
Abstrakt: Background: Accurate knowledge of breast arterial supply on individual basis is crucial prior to breast reduction surgery to minimize the risk of post-operative necrosis of nipple-areola complex which is a well reported complication. The purpose of this cross-sectional study was to test the ability of multislice CT angiography to delineate the dominant arterial supply of nipple-areola complex to facilitate accurate breast pedicle selection to improve patient outcome. Results: Twelve patients underwent multislice CTA of both breasts to delineate dominant arterial supply to NAC, internal mammary artery was the dominant arterial supply in most of breasts (87.5%) based on CTA findings and hence superomedial pedicle was the commonest pedicel chosen. None of patients experienced NAC necrosis postoperatively while minority of patients (16.6%) exhibited decreased NAC sensation bilaterally. Conclusions: Multislice CT angiography is a useful pre-operative tool to minimize the risk of post-operative necrosis of nipple-areola complex in patients undergoing breast reduction surgery. [ABSTRACT FROM AUTHOR]
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