Bayram Yalcin, Zor Fatih, Karagoz Huseyin, Kulahci Yalcin, Afifi Ahmed M, Ozturk Serdar
Drs Bayram and Zor are Associate Professors and Dr Ozturk is a Professor, Department of Plastic, Reconstructive, and Aesthetic Surgery, Gulhane Military Medical Academy, Ankara, Turkey. Dr Karagoz is an Associate Professor, Department of Plastic, Reconstructive, and Aesthetic Surgery; GATA Haydarpasha Training Hospital, Istanbul, Turkey. Dr Kulahci is an Associate Professor, Department of Hand Surgery, Gulhane Military Medical Academy, Ankara, Turkey. Dr Afifi is an Assistant Professor, Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, WI, USA.
Aesthet Surg J. 2016 Mar;36(3):313-20. doi: 10.1093/asj/sjv181. Epub 2015 Sep 29.
Achieving satisfactory results may be difficult in augmentation mammaplasty patients in the presence of breast, chest wall, or vertebral deformities. These deformities have not been classified previously, and the impact of each deformity or combination of deformities has not been defined.
The aims of this study are to determine the complicating factors in augmentation mammaplasty, to classify these factors according to their influence on surgical outcome, and to develop an identification system for simplifying the recognition of challenging cases.
We retrospectively analyzed photographs and records of 100 consecutive patients who underwent augmentation mammaplasty. We observed suboptimal results in 18 cases. Preoperative deformities of the breast, chest wall, and vertebra were recorded in order to determine which factor or factors had complicated the surgeries. Eventually, the relationship between suboptimal surgical results and complicating factors was evaluated.
We observed that some deformities alone caused suboptimal results, whereas others did not. Deformities that caused suboptimal results alone were called major complicating factors, and any others were called minor complicating factors. We observed that suboptimal results were also obtained in patients who had four minor complicating factors. Patients who had suboptimal results because of major or minor complicating factors were considered challenging cases.
In this study, complicating factors for augmentation mammaplasty were defined and classified as major or minor depending on their effect on the surgical outcome. We suggest an identification system that simplifies the recognition of challenging cases in breast augmentation.
在存在乳房、胸壁或脊柱畸形的隆胸患者中，可能难以获得满意的效果。这些畸形此前未被分类，且每种畸形或畸形组合的影响也未明确。
本研究的目的是确定隆胸手术中的复杂因素，根据这些因素对手术结果的影响进行分类，并开发一种识别系统以简化对具有挑战性病例的识别。
我们回顾性分析了连续100例行隆胸手术患者的照片和记录。我们观察到18例结果不理想。记录乳房、胸壁和脊柱的术前畸形情况，以确定哪些因素或哪些因素组合使手术变得复杂。最终，评估了手术效果不理想与复杂因素之间的关系。
我们观察到一些畸形单独就导致了不理想的结果，而其他畸形则没有。单独导致不理想结果的畸形被称为主要复杂因素，其他任何畸形则被称为次要复杂因素。我们还观察到有四个次要复杂因素的患者也出现了不理想的结果。因主要或次要复杂因素而出现不理想结果的患者被视为具有挑战性的病例。
在本研究中，定义了隆胸手术的复杂因素，并根据其对手术结果的影响将其分为主要或次要因素。我们提出了一种识别系统，可简化对隆胸手术中具有挑战性病例的识别。
