| Popis: |
Background Gigantomastia, defined as >1500 g excess tissue per breast, is a relatively rare, physically and psychologically disabling condition. It has traditionally been approached with breast amputation and free nipple grafting. Disadvantages of this technique include uneven nipple-areolar complex (NAC) pigmentation, NAC necrosis, and complete loss of lactation. Newer techniques have been described to reduce these large breasts, while avoiding the disadvantages associated with free nipple grafting. The aim of this study was to share our experience of utilizing the superomedial pedicle technique with inverted-T mammoplasty in patients with gigantomastias. Materials and methods A retrospective review of all patients with gigantomastia who underwent inverted T-reduction mammoplasty with superomedial pedicle technique at Dept. of Plastic Surgery, Services Hospital, Lahore between January 2013 to December 2016 was performed. Patient demographics, preoperative breast measurements, perioperative data and post procedure patient satisfaction were analyzed. Exclusion criteria were a reduction mammoplasty weight of less than 1500 grams per breast. Results A total of 14 patients were included in this study. The average age at the time of surgery was 29.5 years. The average body mass index was 23.4kg/m2. Average breast resection weight was -1770 for the right and 1737g for the left breast. Average NAC transposition was 12.2cm for the right breast and 12.0cm for the left breast. Two patients developed epidermolysis of the NAC which improved with time. One patient had partial NAC necrosis. Two patients experienced partial wound dehiscence. All patients reported satisfaction with breast shape and projection. Conclusion Our study shows that inverted-T reduction mammoplasty with supero-medial pedicle is a safe and effective treatment modality in patients with gigantomastia. This technique is associated with low risk for NAC necrosis, with good breast shape and projection, resulting in better physical and psychosocial outcomes. |
