Mitz V, Auclair E, Mouthuy B, Staub S, Dabos N, Lemerle J P, Vilain R
Service de Chirurgie Réparatrice, Hôpital Boucicaut, Paris.
Ann Chir Plast Esthet. 1990;35(6):447-52.
It would appear to be impossible to compare completely different techniques of mammaplasty performed in very different clinical situations. However, we thought it would be useful to approach the result of mammaplasties from a more "orthopaedic" point of view. Such an approach distinguishes populations of patients with different results and in whom the postoperative assessment must take into account the result obtained, the residual scars and the final breast shape. A formula has been developed after multiple attempts: [formula: see text] This formula expresses positive factors: the quantity of glandular tissue removed (in grams), the final appearance of the scars, the appearance of the overall shape of the two reconstructed breasts and the reappearance of ptosis measured from the edges of the breast below the inframammary sulcus (in the erect position). In this way, it is possible to express these positive factors by the multiplying the scores attributed to each of the factors. For example, a resection of 150 g will be scored as 1.5 and a resection of 1,200 g will be scored as 12, i.e. the weight in grams is simply divided by 100 to give the score for weight. The scar will be scored according to an individual scale of 1 to 5. The shape will also be scored according to an individual scale of 1 to 5. The division factors include the length of the inframammary scar (segment 3); this inframammary vertical line will be included directly in the calculation. In contrast, the length of the horizontal inframammary scar will be divided by 10.(ABSTRACT TRUNCATED AT 250 WORDS)
在截然不同的临床情况下实施的完全不同的乳房整形技术似乎无法进行全面比较。然而,我们认为从更“整形外科”的角度来探讨乳房整形的结果会很有用。这种方法能够区分出结果不同的患者群体,对于这些患者群体,术后评估必须考虑到所取得的结果、残留疤痕以及最终的乳房形状。经过多次尝试,我们制定了一个公式:[公式:见正文] 这个公式体现了一些积极因素:切除的腺体组织量(以克为单位)、疤痕的最终外观、两个再造乳房的整体形状外观以及从乳房下缘乳房下皱襞边缘(直立位)测量的乳房下垂复发情况。通过这种方式,将赋予每个因素的分数相乘就可以体现这些积极因素。例如,切除150克得分为1.5,切除1200克得分为12,即克数直接除以100得到重量得分。疤痕将根据1至5的个人评分标准打分。形状也将根据1至5的个人评分标准打分。除数因素包括乳房下疤痕的长度(第3段);这条乳房下垂直线将直接纳入计算。相比之下,乳房下水平疤痕的长度将除以10。(摘要截断于250字)