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三维体积评估作为乳房不对称管理中的一种客观工具。

3D Volume Assessment as an Objective Tool in Breast Asymmetry Management.

作者信息

Makram Mahmoud, Noaman Ayman, Abozeid Mohammed

机构信息

Department of Plastic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

Plast Reconstr Surg Glob Open. 2023 Apr 7;11(4):e4904. doi: 10.1097/GOX.0000000000004904. eCollection 2023 Apr.


DOI:10.1097/GOX.0000000000004904
PMID:37038412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10082228/
Abstract

UNLABELLED: Throughout history, the female breast has been a universal symbol of femininity. The breast's normal symmetrical appearance is an important aspect of the female form. Female breasts are not perfectly symmetrical by nature, and minor differences in shape or volume are common. However, it can be psychologically distressing for patients and affect their perception of their bodies. Aesthetic breast surgeons strive to minimize these differences in order to make them more acceptable to patients. This study aimed to provide an objective and practical strategy for effectively managing breast asymmetry. METHOD: This study was conducted between November 2017 and September 2021 on 20 female patients seeking breast asymmetry correction at Kasr El-Ainy Hospital. All patients had volumetric breast assessment using a three-dimensional (3D) imaging system (3D LifeViz, Quantificare system), and MRI breast volumetry was done preoperatively in all patients. The patients were managed with different single-stage surgical procedures depending on the objective assessment of the volume differences between their breasts. RESULTS: Breast volume assessment using the 3D camera was done preoperatively and postoperatively. The preoperative mean volume difference was 159.45 cm, and the postoperative mean difference was 16.75 cm with an overall reduction in mean volume difference of 89.5%. Comparing the 3D camera and MRI in assessing breast volume difference showed no statistical significance. CONCLUSIONS: The 3D technology is a useful objective tool to augment the surgeon's experience. It helped achieve an 84.57% reduction in volume difference in managing breast asymmetry with a single-stage procedure.

摘要

未标注:纵观历史,女性乳房一直是女性气质的普遍象征。乳房正常的对称外观是女性形体的一个重要方面。女性乳房天生并非完全对称,形状或体积上的细微差异很常见。然而,这可能会给患者带来心理困扰,并影响她们对自己身体的认知。美容整形外科医生努力将这些差异最小化,以使患者更容易接受。本研究旨在提供一种客观实用的策略,以有效处理乳房不对称问题。 方法:本研究于2017年11月至2021年9月在开罗大学艾因夏姆斯医院对20名寻求乳房不对称矫正的女性患者进行。所有患者均使用三维(3D)成像系统(3D LifeViz,Quantificare系统)进行乳房容积评估,所有患者术前均进行了MRI乳房容积测量。根据对患者两侧乳房容积差异的客观评估,采用不同的单阶段手术方法对患者进行治疗。 结果:术前和术后均使用3D摄像头进行乳房容积评估。术前平均容积差异为159.45立方厘米,术后平均差异为16.75立方厘米,平均容积差异总体降低了89.5%。比较3D摄像头和MRI在评估乳房容积差异方面的结果,未发现统计学意义。 结论:3D技术是一种有用的客观工具,可增强外科医生的经验。它有助于在单阶段手术中处理乳房不对称问题时使容积差异降低84.57%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e70/10082228/ef9878adcb68/gox-11-e4904-g019.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e70/10082228/ef9878adcb68/gox-11-e4904-g019.jpg

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引用本文的文献

[1]
How Reliable Is Breast Volume Assessment When the Patient Is Lying Flat?-Volumetric Assessment of Breast Volume Using a Vectra H2 Handheld Device in Different Positions.

J Clin Med. 2024-1-25

本文引用的文献

[1]
Breast Asymmetry, Classification, and Algorithm of Treatment: Our Experience.

Aesthetic Plast Surg. 2019-9-4

[2]
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P R Health Sci J. 2018-12

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Aesthetic Plast Surg. 2018-10

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Aesthetic Plast Surg. 2015-6

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Plast Reconstr Surg. 2014-12

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Aesthetic Plast Surg. 2014-12

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Plast Reconstr Surg. 2013-10

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Aesthetic Plast Surg. 2013-1-11

[10]
A measurement system for evaluation of shape changes and proportions after cosmetic breast surgery.

Plast Reconstr Surg. 2012-4

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