Yiltok Simon Jekat, Akintayo Akintunde J, Karago Christopher Y, Choji Joshua D, Sankey Babangida, Agada Enye, Dafong Atarang A, Ezekiel Anthony S, Orkar Kusu Samuel
Department of Surgery, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
J West Afr Coll Surg. 2023 Jul-Sep;13(3):77-83. doi: 10.4103/jwas.jwas_30_23. Epub 2023 Jun 27.
Macromastia is a major reason why women seek for breast reduction especially when there are symptoms. Breast reduction is an uncommon procedure in our environment and this is a report of our experience with inferior pedicle with an inverted-T skin resection.
This is a report of breast reductions using the inferior pedicle with an inverted-T skin resection approach that were carried out between 2004 and 2022. The information that was retrieved from the case notes were age, marital status, parity, last child birth, family history of breast enlargement, presenting features, height, weight, the weight of tissue excised, and complications. The data obtained were then entered into the SPSS version 25 (IBM Corp.) software and analysed.
Seventeen women were managed with an age range of 16-50 years and a mean of 31.06 ± 9.66 years. The most common features at presentation were heavy weight around the chest, backache, shoulder pain, no appropriate brassiere with low self-esteem and self-confidence. Ten had skin changes and recurrent rashes over the breast, whereas four complained of grooves with skin changes. The weight of excised breast tissue ranged from 0.2 to 5.5 kg with an average of 2.18 ± 1.28 kg for the right and 2.05 ± 1.00 kg for the left breast. All except one patient had blood transfusion. The common complications were delayed wound healing (47%) followed by partial wound dehiscence (17.6%), and flap necrosis (11.8%). Except for those with flap necrosis the wounds healed with some having broad scars.
Patients for breast reduction are mainly due to the symptoms and signs with the associated large breast. The inferior pedicle with inverted-T skin resection is a valuable technique with a very good outcome. To improve access to breast reduction, there is the need to enhance awareness through advocacy using women groups and health education.
巨乳症是女性寻求缩乳手术的主要原因，尤其是出现症状时。在我们所处的环境中，缩乳手术并不常见，本文报告了我们采用下蒂瓣联合倒T形皮肤切除术的经验。
本文报告了2004年至2022年间采用下蒂瓣联合倒T形皮肤切除术进行的缩乳手术。从病例记录中检索到的信息包括年龄、婚姻状况、产次、末次分娩时间、乳房增大家族史、临床表现、身高、体重、切除组织重量以及并发症。然后将获得的数据录入SPSS 25版（IBM公司）软件并进行分析。
17名女性接受了手术，年龄范围为16至50岁，平均年龄为31.06±9.66岁。最常见的临床表现是胸部周围沉重、背痛、肩痛、没有合适的胸罩且自尊心和自信心较低。10名患者乳房出现皮肤改变和反复皮疹，而4名患者抱怨有皮肤改变的沟槽。切除的乳腺组织重量范围为0.2至5.5千克，右侧平均为2.18±1.28千克，左侧平均为2.05±1.00千克。除1名患者外，所有患者均接受了输血。常见并发症为伤口愈合延迟（47%），其次是部分伤口裂开（17.6%）和皮瓣坏死（11.8%）。除皮瓣坏死的患者外，伤口均愈合，部分患者留下较宽的疤痕。
接受缩乳手术的患者主要是因为出现了与巨乳相关的症状和体征。下蒂瓣联合倒T形皮肤切除术是一种有价值的技术，效果良好。为了增加缩乳手术的可及性，有必要通过妇女团体宣传和健康教育来提高认识。
