Department of Plastic and Reconstructive Surgery, School of Medicine, Sapienza University, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2013 Apr;17(7):977-83.
The tuberous breast syndrome is a rare anomaly of breast shape, which can be associated to volume breast asymmetry. We report our caseload in the correction of tuberous breasts with small volume asymmetry by using the Muti's technique associated to the implantation of a new adjustable implant.
Purpose of the study is to evaluate the efficacy of treating tuberous breast deformity with two different types of implants (a textured round high profile cohesive I implant in the larger breast and a Spectra™ implant in the smaller breast).
Since May 2008, patients affected by tuberous breast combined to small breast volume asymmetry were enrolled in a prospective study. After gland deformity correction, the adjustable implant was positioned in the smaller breast. A textured round implant was positioned in the contralateral breast. Standard pictures were taken before surgery and during follow-up visits over one year. A visual analogue scale (VAS) scale was used to evaluate patients' and external physicians' judgment. Standardized objective measurements of breast and chest were also taken. Statistical significance of any value variation was assessed with the Wilconxon's rank sum test.
Eleven patients were treated with the proposed surgical approach. VAS scores from patients and external physicians were high. Deformity correction was obtained in all patients as evidenced by the significant modifications of objective measurements. No major late complications occurred.
The new adjustable implant provides a reliable corrective option for hypoplastic tuberous breasts with small volume asymmetry. This device allows intra-operative modification of implant volume according to breast volume discrepancy. Although our findings are satisfying, a longer follow-up is required to evaluate long term results.
乳房结节症是一种罕见的乳房形状异常，可能与乳房体积不对称有关。我们报告了使用 Muti 技术联合新型可调植入物矫正结节状乳房伴小体积不对称的病例。
本研究旨在评估两种不同类型的植入物（较大乳房中使用纹理圆形高凸凝聚力 I 植入物和较小乳房中使用 Spectra™植入物）治疗结节状乳房畸形的疗效。
自 2008 年 5 月以来，患有结节状乳房伴小乳房体积不对称的患者被纳入前瞻性研究。在矫正腺体畸形后，将可调植入物放置在较小的乳房中。在对侧乳房中放置纹理圆形植入物。在术前和一年随访期间拍摄标准照片。使用视觉模拟评分（VAS）量表评估患者和外部医生的判断。还进行了乳房和胸部的标准化客观测量。使用 Wilcoxon 秩和检验评估任何值变化的统计学意义。
11 例患者采用提出的手术方法进行治疗。患者和外部医生的 VAS 评分均较高。所有患者均获得了畸形矫正，客观测量的显著改变证明了这一点。没有发生重大晚期并发症。
新型可调植入物为伴有小体积不对称的发育不良结节状乳房提供了可靠的矫正选择。该装置允许根据乳房体积差异在术中调整植入物体积。尽管我们的发现令人满意，但需要更长的随访时间来评估长期结果。
