背景:尽管上椎弓根在乳房缩小方面具有优势,这种技术有一些局限性。椎弓根区域的吸脂术可以增强椎弓根的移动性,这可以减轻组织阻力并减少椎弓根压缩,以便克服循环问题。事实上,使用上椎弓根乳房缩小的适应症可以通过椎弓根区域的吸脂术来扩大。
方法:本研究包括2014年3月至2020年11月期间接受上椎弓根技术乳房缩小术并通过吸脂术降低椎弓根阻力的患者。根据乳晕周围组织的形态将内部乳腺形态分为三组。第1组乳房呈脂肪瘤状,第2组乳房为脂肪腺体,第3组乳房为纤维腺体。在短期随访期间,对乳头-乳晕复合体(NAC)的循环进行了临床评价和手持式多普勒装置评价.术后12个月用视觉模拟量表评估长期美学结果。
结果:本研究纳入了第1组或第2组乳房的一百八十九名患者。患者的平均年龄为38.3岁。平均随访时间为31.7个月。未观察到部分或全部NAC丢失,也没有患者出现触底畸形。
结论:对椎弓根区域进行吸脂术是一种有效且可靠的方法,既可以降低椎弓根的阻力,又可以克服某些患者组(第1组和第2组)的循环问题,增加了椎弓根的动员,将乳房缩小到所需的大小,并防止长期触底反弹,并增加了使用优越的椎弓根技术。根据我们的临床结果,研究表明,这些患者不需要术前多普勒超声检查的椎弓根血管标测。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Despite the advantages of the superior pedicles in breast reduction, there are some limitations with this technique. The mobility of the pedicle may be augmented by liposuction in the pedicle area which may relieve tissue resistance and decrease pedicle compression in order to overcome circulation problems. In fact, the indications of breast reduction using superior pedicles may be expanded by liposuction in the pedicle area.
METHODS: The patients who underwent breast reduction with superior pedicle techniques between March 2014 and November 2020 and whose pedicle resistances were decreased by liposuction were included in this study. Internal breast morphology was classified into three groups based on the morphology of the periareolar tissues. Group 1 breasts were lipomatous, Group 2 breasts were lipo-glandular and Group 3 breasts were fibroglandular. During the short-term follow-up, the circulation of the nipple-areola complex (NAC) was evaluated both clinically and with an hand held Doppler device. The long-term aesthetic results were evaluated at the postoperative twelfth month with a visual analogue scale.
RESULTS: One hundred eighty-nine patients with either Group 1 or Group 2 breasts were included in this study. The mean age of the patients was 38.3 years. The mean follow-up period was 31.7 months. Neither partial nor total NAC loss was observed and none of the patients had bottoming-out deformity.
CONCLUSIONS: Liposuction to the pedicle area is an effective and reliable method that both reduces the resistance in the pedicle and overcomes the circulation problems in certain patient groups (groups 1 and 2), increases the mobilization of the pedicle, reduces the breast to the desired size and prevents bottoming-out in the long term and increases the use of superior pedicle techniques. According to our clinical results, it was demonstrated that pedicle vascular mapping with preoperative Doppler sonography was not necessary in these patients.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .