Vivien Moris, Maurice Renom, Nicolas Santamaria, Narcisse Zwetyenga, Isabelle Pluvy, Leslie Ann See
{"title":"传统椭圆切除与真皮腺后下皮瓣治疗III级男性乳房畸形的比较分析。","authors":"Vivien Moris, Maurice Renom, Nicolas Santamaria, Narcisse Zwetyenga, Isabelle Pluvy, Leslie Ann See","doi":"10.1007/s00266-025-04741-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Gynecomastia is a benign development of male breast tissue accompanied by fat tissue. This condition is increasing due to a sedentary lifestyle and poor diet. This study compared patient satisfaction and outcomes between traditional elliptic excision and posteroinferior pedicle methods for treating Grade III gynecomastia by analyzing 20 years of data.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on patients treated from 2003 to 2023 at a single center at the University Hospital of Dijon, France, with 318 patients included. The BODY-Q chest module was used to evaluate patient satisfaction.</p><p><strong>Results: </strong>There were significant differences in patient satisfaction, with the flap technique (Group 2) reporting higher scores across various domains, including scars, psychological function, and body image, than the elliptic excision technique (Group 1), with p values all less than 0.001. The flap technique also demonstrated advantages in preserving nipple sensation, with only 5.4% reporting nipple sensation trouble in Group 2 versus 23% in Group 1 (p=0.002) and minimizing visible scarring. The surgical time was slightly longer, at 96 min in the flap group versus 84 min (p<0.001) for the elliptic excision group, due to more extensive dissection.</p><p><strong>Discussion: </strong>The results of this study were in line with the findings in the scientific literature. Notably, this research stands out as one with the most participants over 20 years. This study supports the use of the dermoglandular posteroinferior flap technique as the preferred method for treating Grade III gynecomastia, which significantly improved patient satisfaction and surgical outcomes.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparative Analysis of the Traditional Elliptic Excision and Dermoglandular Posteroinferior Flap Technique for Grade III Gynecomastia.\",\"authors\":\"Vivien Moris, Maurice Renom, Nicolas Santamaria, Narcisse Zwetyenga, Isabelle Pluvy, Leslie Ann See\",\"doi\":\"10.1007/s00266-025-04741-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Gynecomastia is a benign development of male breast tissue accompanied by fat tissue. This condition is increasing due to a sedentary lifestyle and poor diet. This study compared patient satisfaction and outcomes between traditional elliptic excision and posteroinferior pedicle methods for treating Grade III gynecomastia by analyzing 20 years of data.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on patients treated from 2003 to 2023 at a single center at the University Hospital of Dijon, France, with 318 patients included. The BODY-Q chest module was used to evaluate patient satisfaction.</p><p><strong>Results: </strong>There were significant differences in patient satisfaction, with the flap technique (Group 2) reporting higher scores across various domains, including scars, psychological function, and body image, than the elliptic excision technique (Group 1), with p values all less than 0.001. The flap technique also demonstrated advantages in preserving nipple sensation, with only 5.4% reporting nipple sensation trouble in Group 2 versus 23% in Group 1 (p=0.002) and minimizing visible scarring. The surgical time was slightly longer, at 96 min in the flap group versus 84 min (p<0.001) for the elliptic excision group, due to more extensive dissection.</p><p><strong>Discussion: </strong>The results of this study were in line with the findings in the scientific literature. Notably, this research stands out as one with the most participants over 20 years. This study supports the use of the dermoglandular posteroinferior flap technique as the preferred method for treating Grade III gynecomastia, which significantly improved patient satisfaction and surgical outcomes.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. 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Comparative Analysis of the Traditional Elliptic Excision and Dermoglandular Posteroinferior Flap Technique for Grade III Gynecomastia.
Introduction: Gynecomastia is a benign development of male breast tissue accompanied by fat tissue. This condition is increasing due to a sedentary lifestyle and poor diet. This study compared patient satisfaction and outcomes between traditional elliptic excision and posteroinferior pedicle methods for treating Grade III gynecomastia by analyzing 20 years of data.
Materials and methods: A retrospective analysis was conducted on patients treated from 2003 to 2023 at a single center at the University Hospital of Dijon, France, with 318 patients included. The BODY-Q chest module was used to evaluate patient satisfaction.
Results: There were significant differences in patient satisfaction, with the flap technique (Group 2) reporting higher scores across various domains, including scars, psychological function, and body image, than the elliptic excision technique (Group 1), with p values all less than 0.001. The flap technique also demonstrated advantages in preserving nipple sensation, with only 5.4% reporting nipple sensation trouble in Group 2 versus 23% in Group 1 (p=0.002) and minimizing visible scarring. The surgical time was slightly longer, at 96 min in the flap group versus 84 min (p<0.001) for the elliptic excision group, due to more extensive dissection.
Discussion: The results of this study were in line with the findings in the scientific literature. Notably, this research stands out as one with the most participants over 20 years. This study supports the use of the dermoglandular posteroinferior flap technique as the preferred method for treating Grade III gynecomastia, which significantly improved patient satisfaction and surgical outcomes.
Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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