Evaluation of Nipple and Areola Sensation in Different Pedicles of Breast Reduction: A Controlled Trial.

IF 1.5 Q3 SURGERY
Laila A Aboul Nasr, Ibrahim Adel Ibrahim Botros, Ayman Noaman, Adel M Wilson
{"title":"Evaluation of Nipple and Areola Sensation in Different Pedicles of Breast Reduction: A Controlled Trial.","authors":"Laila A Aboul Nasr, Ibrahim Adel Ibrahim Botros, Ayman Noaman, Adel M Wilson","doi":"10.1097/GOX.0000000000006937","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Breast surgery, including augmentation, reduction, and mastopexy, is commonly performed to enhance breast aesthetics.</p><p><strong>Methods: </strong>This study included 45 women (90 breasts) undergoing reduction mammoplasty at the Department of Plastic and Reconstructive Surgery, Kasr Alainy Hospital, between October 2022 and August 2024. Ethical approval was obtained from Cairo University (approval number MD-29-2023). Patients were divided into 3 equal groups: group A (superomedial pedicle), group B (medial pedicle), and group C (inferior pedicle).</p><p><strong>Results: </strong>No significant differences were found in 1-point discrimination using Semmes-Weinstein monofilaments (right and left) across groups preoperatively or postoperatively at 3, 6, and 12 months. Temperature sensation significantly decreased at 3 months in groups A and B compared with group C (<i>P</i> = 0.0002), with no differences at later follow-ups. Crude touch sensation was significantly reduced in group A at 3 and 6 months (<i>P</i> = 0.004), with recovery by 12 months. Pain sensation (<i>P</i> = 0.004) and 2-point discrimination (<i>P</i> = 0.0002) were significantly diminished at 3 months in groups A and B but normalized by 6 and 12 months.</p><p><strong>Conclusions: </strong>Reduction mammaplasty is a safe procedure with low complication rates. Sensory changes in the nipple-areola complex may occur, particularly in the early postoperative period. Sensory recovery is generally observed by 12 months, especially in the inferior pedicle technique.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6937"},"PeriodicalIF":1.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212779/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006937","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Breast surgery, including augmentation, reduction, and mastopexy, is commonly performed to enhance breast aesthetics.

Methods: This study included 45 women (90 breasts) undergoing reduction mammoplasty at the Department of Plastic and Reconstructive Surgery, Kasr Alainy Hospital, between October 2022 and August 2024. Ethical approval was obtained from Cairo University (approval number MD-29-2023). Patients were divided into 3 equal groups: group A (superomedial pedicle), group B (medial pedicle), and group C (inferior pedicle).

Results: No significant differences were found in 1-point discrimination using Semmes-Weinstein monofilaments (right and left) across groups preoperatively or postoperatively at 3, 6, and 12 months. Temperature sensation significantly decreased at 3 months in groups A and B compared with group C (P = 0.0002), with no differences at later follow-ups. Crude touch sensation was significantly reduced in group A at 3 and 6 months (P = 0.004), with recovery by 12 months. Pain sensation (P = 0.004) and 2-point discrimination (P = 0.0002) were significantly diminished at 3 months in groups A and B but normalized by 6 and 12 months.

Conclusions: Reduction mammaplasty is a safe procedure with low complication rates. Sensory changes in the nipple-areola complex may occur, particularly in the early postoperative period. Sensory recovery is generally observed by 12 months, especially in the inferior pedicle technique.

乳晕和乳头感觉在不同蒂缩乳术中的评价:一项对照试验。
背景:乳房手术,包括隆胸、缩胸和乳房固定术,通常用于改善乳房美观。方法:本研究纳入了2022年10月至2024年8月期间在Kasr Alainy医院整形与重建外科接受缩乳术的45名女性(90个乳房)。获得了开罗大学的伦理批准(批准号MD-29-2023)。患者分为3组:A组(内侧上椎弓根)、B组(内侧椎弓根)、C组(下椎弓根)。结果:术前、术后3、6、12个月各组间使用Semmes-Weinstein单丝(左、右)的1点判别无显著差异。与C组相比,A组和B组在3个月时体温感觉明显下降(P = 0.0002),后期随访无差异。A组患者的粗糙触觉在3个月和6个月时显著降低(P = 0.004), 12个月时恢复。A组和B组疼痛感觉(P = 0.004)和2点辨别力(P = 0.0002)在3个月时显著降低,但在6个月和12个月时恢复正常。结论:乳房缩小成形术是一种安全的手术,并发症发生率低。乳头-乳晕复合体的感觉变化可能发生,特别是在术后早期。感觉恢复通常在12个月后观察到,特别是在下蒂技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信