Waltho Daniel, McRae Mark, Thoma Achilleas
Plastic Surgery, McMaster University, Hamilton, CAN.
Cureus. 2020 Jan 1;12(1):e6536. doi: 10.7759/cureus.6536.
Introduction Breast hypertrophy is a common condition that is often treated with breast reduction surgery. A large percentage of breast hypertrophy patients have notable asymmetry between breasts. Methods The purpose of this study was to investigate a method of measuring breast asymmetry, one that allows patients to determine the asymmetry of their own breasts at home with ease, and to assess its accuracy and role in a surgical practice. A retrospective chart review was conducted, wherein self-measurements of breast asymmetry using a variation of Bouman's technique were compared with the recorded intra-operative resected tissue mass. Results In total, 47 patients with asymmetry were included in the study. The difference between patient-reported measurements and resected breast tissue mass varied from 0 grams to 240 grams. Of the 47 patients, 38% were able to measure their breast difference within a remarkable 10 grams as compared to the resected breast tissue, of which four patients were accurate to less than one gram. The majority (70%) of patients accurately measured their asymmetry within 50 grams, which was determined to be a clinically significant amount based on a survey of plastic surgeons performed for the study. Conclusion The breast measurement technique presented in this study appears to be effective and accurate for most patients with suspected asymmetry undergoing reduction mammaplasty that stands to reduce pre-operative planning time. Patient-reported breast measurement may emerge as a valuable tool in clinical and research pursuits; however, further research on this topic is indicated at this time.
引言 乳房肥大是一种常见病症，常通过乳房缩小手术进行治疗。很大比例的乳房肥大患者双乳之间存在明显不对称。方法 本研究的目的是探究一种测量乳房不对称性的方法，该方法能让患者轻松在家自行测定自身乳房的不对称情况，并评估其在外科手术实践中的准确性和作用。进行了一项回顾性病历审查，将采用布曼技术变体进行的乳房不对称性自我测量结果与术中记录的切除组织质量进行比较。结果 本研究共纳入47例不对称患者。患者报告的测量值与切除的乳房组织质量之间的差异在0克至240克之间。在这47例患者中，38%能够测量出与切除的乳房组织相比相差不超过10克的乳房差异，其中有4例患者的测量结果精确到不足1克。根据为该研究对整形外科医生进行的一项调查，大多数（70%）患者能够在相差50克以内准确测量出其不对称情况，而这一差异被认定为具有临床意义。结论 本研究中提出的乳房测量技术对于大多数疑似不对称且拟行乳房缩小术的患者似乎有效且准确，有望缩短术前规划时间。患者报告的乳房测量结果可能会成为临床和研究工作中的一项有价值工具；然而，目前仍需对此主题进行进一步研究。
