Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction.

IF 1.9 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Breast Journal Pub Date : 2022-01-01 DOI:10.1155/2022/2952322
Jong Ho Lee, Jeong Yeop Ryu, Kang Young Choi, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho, Byeongju Kang, Jeeyeon Lee, Ho Yong Park, Joon Seok Lee
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引用次数: 1

Abstract

Background: A combination of the reduction mammoplasty technique and breast reconstruction allows surgeons to lift ptotic breasts through local flaps and skin reduction during surgery for breast cancer. This study presents a reliable course for the combination of partial and skin or nipple-sparing mastectomy with reduction-reconstruction surgery.

Methods: Fifty-seven patients underwent a partial mastectomy before reduction mammoplasty of both breasts during the same time period between 2014 and 2021 at our institution and thirteen patients underwent skin or nipple-sparing mastectomy, breast reconstruction with an extended latissimus dorsi flap or silicone implant, and aesthetic reduction mammoplasty of the contralateral breast during the same time period. Additional photos were obtained preoperatively, immediately after the operation, and at one, three, six, and twelve months postoperatively. Patient satisfaction was evaluated preoperatively and postoperatively and postoperative complications were noted.

Results: Among the patients who underwent a partial mastectomy, the mean age was 45.18 ± 11.05 years, the mean body mass index (BMI) was 26.74 ± 3.53 kg/m2, and the mean preoperative right and left breast volumes were 663.85 (±28.12) cc and 664.34 (±37.13) cc, respectively, and the mean excised mass weight was 177.74 (±213.93) g. Among the patients who underwent a skin-sparing mastectomy, the mean age was 51.62 ± 8.96 years, the mean BMI was 26.91 ± 4.34 kg/m2, and the mean preoperative right and left breast volumes were 624.17 (±98.52) cc and 562.31 (±80.81) cc, respectively, and the mean excised mass weight was 618.05 (±338.17) g. Four patients (5.3%) in the partial mastectomy group had fat necrosis. The mean patient satisfaction score was higher postoperatively in both groups.

Conclusion: Patients with breast cancer and large and/or ptotic breasts can successfully undergo reduction mammoplasty for both breasts immediately following partial mastectomy and nipple or skin-sparing mastectomy.

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乳腺肿瘤整形手术及重建中有用的缩乳技术。
背景:乳房缩小成形术和乳房重建技术的结合使得外科医生在乳腺癌手术中通过局部皮瓣和皮肤缩小来提升上睑下垂的乳房。本研究提出了一个可靠的过程,结合部分和皮肤或乳头保留乳房切除术与复位重建手术。方法:2014年至2021年同一时期,我院57例患者在双侧乳房缩小成形术前接受了部分乳房切除术,13例患者在同一时期接受了保留皮肤或乳头的乳房切除术、延长背阔肌皮瓣或硅胶植入乳房重建和对侧乳房美观缩小成形术。术前、术后即刻、术后1、3、6、12个月分别拍摄其他照片。术前、术后及术后并发症评估患者满意度。结果:行乳房部分切除术的患者平均年龄为45.18±11.05岁,平均体重指数(BMI)为26.74±3.53 kg/m2,术前平均左右乳房体积分别为663.85(±28.12)cc和664.34(±37.13)cc,平均切除质量体重为177.74(±213.93)g。行保皮乳房切除术的患者平均年龄为51.62±8.96岁,平均BMI为26.91±4.34 kg/m2。术前平均右、左乳房体积分别为624.17(±98.52)cc、562.31(±80.81)cc,平均切除质量为618.05(±338.17)g。乳房部分切除组有4例(5.3%)出现脂肪坏死。两组患者术后平均满意度评分均较高。结论:乳腺癌和大乳房和/或上睑下垂的患者在乳房部分切除术和保留乳头或皮肤的乳房切除术后立即行双侧乳房缩小成形术是成功的。
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来源期刊
Breast Journal
Breast Journal 医学-妇产科学
CiteScore
4.00
自引率
0.00%
发文量
47
审稿时长
4-8 weeks
期刊介绍: The Breast Journal is the first comprehensive, multidisciplinary source devoted exclusively to all facets of research, diagnosis, and treatment of breast disease. The Breast Journal encompasses the latest news and technologies from the many medical specialties concerned with breast disease care in order to address the disease within the context of an integrated breast health care. This editorial philosophy recognizes the special social, sexual, and psychological considerations that distinguish cancer, and breast cancer in particular, from other serious diseases. Topics specifically within the scope of The Breast Journal include: Risk Factors Prevention Early Detection Diagnosis and Therapy Psychological Issues Quality of Life Biology of Breast Cancer.
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