Long-term evaluation of Nipple-Areolar complex changes in inferior versus superomedial pedicle reduction mammoplasty: A comparative study
| Autor: | Gianluca Sapino, Jérôme Martineau, Salvatore Giordano, Russell J. Bramhall, William Watfa, Pietro G. di Summa |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Mammaplasty Mammoplasty Reduction Mammoplasty Surgical Flaps Surgery Inferior pedicle Clinical Practice Patient satisfaction Nipples Multimodal analysis Medicine Humans Breast reduction Nipple areolar complex business Follow-Up Studies Retrospective Studies |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 75(3) |
| ISSN: | 1878-0539 |
| Popis: | In breast reduction, traditionally the inferior pedicle (IFP) technique is considered the most performed by plastic surgeons. A growing interest for the superomedial pedicle (SMP) mammoplasty technique has been documented in literature and clinical practice. Sensory recovery of the nipple-areolar complex (NAC), final areolar shape and scarring may also have a significant impact on patient satisfaction.This study represents a retrospective multimodal analysis comparing NAC sensation and appearance outcomes in IFP and SMP wise pattern breast reductions with 2-year follow-up.From 2013 to 2017, all performed reduction mammoplasty were included and divided in two groups (IFP or SMP technique). Testing included pressure perception (Semmes-Weinstein monofilaments), NAC measurement (diameters ratio and circumference) and circumareolar scar hypertrophy assessment. Measurements were repeated at 2 weeks, 6 and 24 months postoperatively.amongst the 73 patients, 42 (58%) had SMP technique and 31 (42%) had IFP technique. Values at 6-months showed better sensory return in the SMP (p 0.01**). NAC enlargement, showed no difference between groups. However, there was a statistically significant increase in both the SMP (p 0.001***) and the IFP (p 0.01**) groups when comparing the 2-week and 24-month follow-up visits measured ratios confirming a more oval appearance over time with both techniques. Scar hypertrophy showed statistically significant reduction in both the SMP (p 0.001***) and the IFP (p 0.01**) groups over time.This 2-year follow-up study showed little difference in outcomes between the two techniques, but some advantages in NAC sensory recovery with the SMP. |
| Databáze: | OpenAIRE |
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