New horizons in gynecomastia: Evaluation of the postero-inferior pedicle technique.

IF 0.5 4区医学 Q4 SURGERY

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-07-24 DOI:10.1016/j.anplas.2025.04.007

Ö Parıldar, R Anlatıcı, I Z Cengiz, H Karaduman

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引用次数: 0

Abstract

Introduction: Gynecomastia, the benign enlargement of male breast tissue, impacts physical and psychological health. Grade III gynecomastia often requires surgery. The postero-inferior pedicle technique offers an alternative to free nipple grafts, preserving neurovascular integrity and aesthetics.

Materials and methods: This retrospective study included 12 patients treated with the postero-inferior pedicle technique. Data included demographics, surgical details, and outcomes. Preoperative and postoperative assessments utilized the SF-36v2 quality-of-life survey and a 7-item satisfaction questionnaire.

Results: Patients had a mean age of 25.5years and BMI of 29.56kg/m². Average operative time was 112.17mins, with 618.33g of tissue resected. Complications were minimal, with one hematoma. All patients rated chest aesthetics as "good" or "very good." SF-36v2 showed significant improvement in physical function (P<0.05) and pain reduction (P<0.05).

Discussion: The postero-inferior pedicle technique is a safe, effective method for Grade III gynecomastia, offering minimal scarring, preserved neurovascular function, and high satisfaction.

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男性乳房发育的新视野：后下蒂技术的评价。

简介：男性乳房畸形是男性乳房组织的良性肿大，影响着男性的身心健康。三级男性乳房发育通常需要手术。后下蒂技术提供了自由乳头移植物的另一种选择，保留了神经血管的完整性和美观。材料和方法：本回顾性研究包括12例采用后下椎弓根技术治疗的患者。数据包括人口统计、手术细节和结果。术前和术后评估采用SF-36v2生活质量调查和7项满意度问卷。结果：患者平均年龄25.5岁，BMI 29.56kg/m2。平均手术时间112.17min，切除组织618.33g。并发症极少，仅有一例血肿。所有患者对胸部美学的评价都是“好”或“非常好”。SF-36v2表现出明显的生理功能改善(p讨论：后下椎弓根技术是一种安全、有效的治疗III级男性乳房发育的方法，疤痕最小，保留了神经血管功能，满意度高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales De Chirurgie Plastique Esthetique 医学-外科

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

44 days

期刊介绍： Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.