Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?
| Autor: | Ömer Berköz, Mustafa Aydinol, Burhan Özalp |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Suction (medicine) medicine.medical_specialty Adolescent Esthetics Mammaplasty medicine.medical_treatment Clinical Decision-Making Male breast Transposition (telecommunications) 030230 surgery Risk Assessment Severity of Illness Index Statistics Nonparametric Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Lipectomy Preoperative Care Humans Medicine Nipple areolar complex Areola Retrospective Studies business.industry medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Gynecomastia Patient Satisfaction Nipples 030220 oncology & carcinogenesis Liposuction business |
| Zdroj: | Journal of Plastic Surgery and Hand Surgery. 52:7-13 |
| ISSN: | 2000-6764 2000-656X |
| DOI: | 10.1080/2000656x.2017.1313260 |
| Popis: | The aim of this study was to assess the efficacy of suction-assisted liposuction (SAL) in Simon grade 2b gynecomastia and its effect on sternal notch to nipple areola (SNN) distance.A retrospective analysis was performed on 21 patients with grade 2b gynecomastia who underwent SAL. Preoperative and postoperative SNN distances of the patients were measured, the results were analysed using a Mann-Whitney U test and a p-value.05 was accepted as statistically significant. Aesthetic results were evaluated by the surgical team considering five criteria: breast size, breast shape, nipple-areolar complex positioning, scarring, and skin tightness of the breast envelope. A 10-point Likert scale was used to assess patient satisfaction with SAL surgery.All of the patients were followed up for an average period of 17.8 months (range = 12-28 months). The mean amount of lipoaspirate was 232 mL per breast (range = 190-310 mL). The mean preoperative SNN distance was 22.3 cm (range = 20-23.5 cm), whereas postoperative was 21.3 cm (range = 19.2-22.8 cm); the difference was statistically significant (p .05). There was one case of nipple areola necrosis, three hypoesthesia, five persistent pains, and four slight buttonhole deformities. The aesthetic result was evaluated as very good by the surgical team, and the overall patient satisfaction rate in terms of breast shape and volume was 92%.It was concluded that SAL provides a good aesthetic outcome in patients with Simon grade 2b gynecomastia and shortens the SNN distance by 1 cm, but further clinical studies are required to support this conclusion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|