Tutak Fatma Nilay, Balık Ozan, Bulbuloglu Semra
Department of Research and Development, Vetal Animal Health Products Joint Stock Company, Adiyaman, Turkey.
Clinic of Plastic Reconstructive and Aesthetic Surgery by Ozan Balık, Levent, Besiktas, Istanbul, Turkey.
Aesthetic Plast Surg. 2024 Dec;48(23):5038-5043. doi: 10.1007/s00266-024-04113-y. Epub 2024 Jun 6.
Mastopexy is a procedure which is used in breast lift and reconstruction surgery and requires a small amount of parenchymal resection. In this procedure, the preservation of nipple-areola circulation is vital. The purpose of this study is to evaluate nipple-areola circulation in patients undergoing central pedicle mastopexy with subpectoral implant placement.
In this observational quasi-experimental study, data were collected retrospectively from electronic medical records. The perioperative nipple-areola circulation of patients undergoing central pedicle mastopexy with subpectoral implant placement was evaluated by integrated laser Doppler flowmetry. Descriptive statistics, one-way analysis of variance, and Tukey's range tests were used to analyze the data.
The preoperative, skin dissection, pectoral elevation, implant placement, 24th hour, and 2nd week nipple-areola circulation statuses of each patient who underwent central pedicle mastopexy with subpectoral implant placement were examined using an integrated laser Doppler flowmeter, and the results were compared. At each stage, all measurements were in the range of 1.8-3.6 ml/min/100g. There was no statistically significant difference between the measurement results.
Central pedicle mastopexy with subpectoral implant placement seems highly advantageous in terms of better functionality and aesthetics in the reconstruction of heavy and sagging breasts.
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乳房上提术是一种用于乳房提升和重建手术的方法，需要少量的实质组织切除。在该手术中，保留乳头乳晕的血液循环至关重要。本研究的目的是评估接受中央蒂乳房上提术并置入胸肌下植入物的患者的乳头乳晕血液循环情况。
在这项观察性准实验研究中，数据从电子病历中回顾性收集。通过集成激光多普勒血流仪评估接受中央蒂乳房上提术并置入胸肌下植入物的患者围手术期乳头乳晕的血液循环情况。使用描述性统计、单因素方差分析和Tukey范围检验对数据进行分析。
使用集成激光多普勒血流仪检查了每例接受中央蒂乳房上提术并置入胸肌下植入物的患者术前、皮肤切开、胸肌抬高、植入物置入、术后24小时和第2周时的乳头乳晕血液循环状态，并对结果进行了比较。在每个阶段，所有测量值均在1.8 - 3.6毫升/分钟/100克范围内。测量结果之间无统计学显著差异。
对于重度下垂乳房的重建，中央蒂乳房上提术并置入胸肌下植入物在功能和美观方面似乎具有很大优势。
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