“改良Ribeiro皮瓣倒T上蒂缩胸术后10余年随访经验”。

IF 3.4 2区 医学 Q1 SURGERY
Plastic and reconstructive surgery Pub Date : 2025-10-01 Epub Date: 2025-03-18 DOI:10.1097/PRS.0000000000012108
Barbara Cagli, Andrea Aniello Cimmino, Iside Vignapiano, Daniela Porso, Francesco Sofo, Carlo Mirra, Luca Savani, Annalisa Cogliandro, Andrea Tarantino, Paolo Persichetti
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引用次数: 0

摘要

背景:已经开发了几种技术来解决巨大乳房发育症的病例。主要目标仍然是在减少乳房体积的同时获得最佳的美学效果,但随着时间的推移,对结果稳定性的担忧仍然存在。特别是,就上蒂t型内翻乳房缩窄术和下基真皮皮瓣而言,长期报道的结果停留在5年的随访。这项工作调查了超过10年的随访结果,考虑了可能导致上睑下垂复发的内在和外在因素。方法:对术后10年以上的70例患者进行长期会诊。物理测量,包括用于弹性评估的标准乳房距离和皮肤膨胀试验(SDT),以及breast - q评分,在会诊时收集,并与术前和术中数据进行比较。结果:我们的研究样本显示平均年龄为42岁。平均随访13年,最长随访18年。切除乳腺组织的平均体积为1134 g。吸烟习惯与下极延伸率呈正相关(p= 0.031),吸烟习惯与下极皮肤膨胀率呈正相关(p=0.002)。年龄与几乎所有BREAST-Q量表得分之间存在显著的正相关。吸烟患者SN-N距离随时间变化较大,极部皮肤肿胀较好。结论:不论年龄大小,内在和外在因素都可能影响治疗结果和满意度。这种通用的程序证明了可靠性,可以提供持久的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Over 10 Years' Follow-Up Experience after Inverted-T Superior Pedicle Breast Reduction with the Modified Ribeiro Flap.

Background: Several techniques have been developed to address cases of macromastia. The primary objective remains achieving optimal aesthetic outcomes and reducing breast volume, but concerns persist regarding the stability of results over time. In particular, as far as the superior pedicle inverted-T breast reduction with an inferiorly based dermal flap is concerned, long-term reported results stop at 5 years' follow-up. This work investigates the outcome of this at greater than 10 years' follow-up, considering intrinsic and extrinsic factors that may contribute to ptosis recurrence.

Methods: A total of 70 patients were included and examined in a long-term consultation, more than 10 years postoperatively. Physical measures, including standard breast distances, skin distention test for elasticity assessment, and BREAST-Q scores, were collected at the time of consultation and compared with preoperative and intraoperative data.

Results: The authors' study sample shows a mean age of 42 years. Mean follow-up was 13 years, with 18 years as the longest follow-up registered. Mean amount breast tissue volume removed was 1134 g. A positive correlation between smoking habit and inferior pole elongation is shown ( P = 0.031), and between smoking habit and inferior pole skin distention ( P = 0.002). A significant positive correlation between age and almost all the BREAST-Q scales is reported. Smoking patients had a higher sternal notch-to-nipple distance distance variation over time and superior pole skin distention.

Conclusions: Intrinsic and extrinsic factors may affect outcome and satisfaction irrespective of the age. This versatile procedure demonstrates reliability across time, offering enduring results.

Clinical question/level of evidence: Therapeutic, IV.

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来源期刊
CiteScore
5.00
自引率
13.90%
发文量
1436
审稿时长
1.5 months
期刊介绍: For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.
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