Tenna Stefania, Cagli Barbara, Brunetti Beniamino, Barone Mauro, Persichetti Paolo
Unit of Plastic and Reconstructive Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.
Aesthetic Plast Surg. 2017 Dec;41(6):1249-1258. doi: 10.1007/s00266-017-0902-3. Epub 2017 Jun 20.
The treatment of a tuberous breast deformity has changed over the years, with a large variety of procedures described. However, maintaining a long-lasting breast contour is an ongoing challenge. The aim of this study was to evaluate the long-term results of tuberous breast corrections, focusing on the incidence of secondary procedures and patient satisfaction.
Forty-six patients who underwent correction of a tuberous breast deformity from 2000 through 2013 were considered. Age, degree of deformity, asymmetry, BMI, pregnancy, first surgical technique used, complications and further surgical procedures were evaluated. Statistical analysis was conducted to identify predicting factors for multiple procedures. Patient satisfaction was evaluated with BREAST-Q.
Eighty-eight breasts were treated: 57 breasts underwent implant-based corrections, whereas 31 breasts underwent autologous procedures. A multi-step procedure was initially planned in 7 breasts only, and 41 breasts underwent secondary procedures: 33 out of 53 breasts (62.3%) were re-operated in the implant-based group, whereas 8 out of 28 breasts (28.6%) were re-operated in the autologous group. Statistical analysis showed a correlation between the number of procedures and young age (P = 0.0253) and between the number of procedures and the primary surgical technique (P = 0.0132). The BREAST-Q evaluation suggested that patient satisfaction was comparable.
The question of time is one of the main issues in breast surgery. The management of tuberous breast deformities requires a customized strategy considering all parameters to improve the longevity of the result in the long term.
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多年来，乳房畸形的治疗方法不断变化，有多种手术方式被描述。然而，维持持久的乳房外形仍然是一项持续存在的挑战。本研究的目的是评估乳房畸形矫正的长期效果，重点关注二次手术的发生率和患者满意度。
纳入2000年至2013年期间接受乳房畸形矫正的46例患者。评估患者的年龄、畸形程度、不对称性、体重指数、妊娠情况、首次手术技术、并发症及进一步的手术操作。进行统计分析以确定多次手术的预测因素。采用BREAST-Q评估患者满意度。
共治疗88例乳房：57例乳房采用植入物矫正，31例乳房采用自体组织手术。最初仅计划对7例乳房进行多步骤手术，41例乳房接受了二次手术：植入物矫正组的53例乳房中有33例（62.3%）再次手术，自体组织组的28例乳房中有8例（28.6%）再次手术。统计分析显示手术次数与年轻年龄（P = 0.0253）以及手术次数与初次手术技术（P = 0.0132）之间存在相关性。BREAST-Q评估表明患者满意度相当。
时间问题是乳房手术的主要问题之一。乳房畸形的治疗需要考虑所有参数的定制策略，以长期改善手术效果的持久性。
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