Zimman Oscar A, Butto Carlos D, Rostagno Román, Rostagno Camila
Centro Zimman de Cirugía Plástica and Division of Plastic Surgery, Hospital de Clínicas, University of Buenos Aires, Juncal 2437, 1A, (1425), Buenos Aires, Argentina.
Division of Plastic Surgery, Hospital de Clínicas, University of Buenos Aires, Buenos Aires, Argentina.
Aesthetic Plast Surg. 2017 Dec;41(6):1261-1274. doi: 10.1007/s00266-017-0940-x. Epub 2017 Aug 4.
The surgical approach to breast asymmetry depends on several factors, including the surgeon's experience, the anatomy of the patient, and several methods that may help to choose a technique and define the size of the implant or the amount of breast tissue to be excised. The aim of this study is to assist in evaluation of breast volumes with the Quantra™ software application, intended for use with Hologic™ digital mammography systems. Twenty-eight women were studied with full-field digital mammography (FFDM) with the Quantra™ software application, for use with Hologic™ digital mammography systems preoperatively. The case diagnoses were as follows: breast hypertrophy, ptosis, hypoplasia, and reconstruction, and the surgeries included breast reduction, mastopexy, mastopexy and breast reduction, mastoplasty and breast augmentation, breast augmentation, and immediate or delayed breast reconstruction. Patients were evaluated from 6 to 18 months after surgery. Volumetric mammogram studies help to decide the amount of tissue to be excised, the size of the implants, and the combination of both. The results of this study were evaluated by surgeons and patients and found to be highly satisfactory. The use of full-field digital mammography with adequate software should be considered as another tool to assist in making decisions regarding the correction of breast asymmetries. Level of Evidence IV 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 .
乳房不对称的手术方法取决于多个因素，包括外科医生的经验、患者的解剖结构以及一些有助于选择技术和确定植入物大小或需切除乳腺组织量的方法。本研究的目的是使用专为Hologic™数字乳腺摄影系统设计的Quantra™软件应用程序来辅助评估乳房体积。术前，对28名女性使用Quantra™软件应用程序及Hologic™数字乳腺摄影系统进行了全视野数字乳腺摄影（FFDM）研究。病例诊断如下：乳房肥大、乳房下垂、乳房发育不全和乳房重建，手术包括乳房缩小术、乳房上提术、乳房上提并缩小术、乳房成形术和隆胸术、隆胸术以及即刻或延迟乳房重建术。术后6至18个月对患者进行了评估。容积式乳腺摄影研究有助于确定要切除的组织量、植入物的大小以及两者的组合。本研究结果经外科医生和患者评估，结果非常令人满意。应考虑将使用配备适当软件的全视野数字乳腺摄影作为辅助做出乳房不对称矫正决策的另一工具。证据等级IV 本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
