Comparison of Wise Pattern Superomedial Pedicle and Inferior Pedicle Breast Reduction Techniques

Yıl 2014, Cilt: 22 Sayı: 1, 13 - 17, 01.04.2014

N. Sinem Çiloğlu Afet Öncel

Öz

Breast reduction surgeries are among the most common reconstructive and aesthetic surgeries performed. The most important objective in these operations is to maintain aesthetic appearance and function while diminishing the size and volume of the enlarged breast. Different techniques were developed to be able to produce the best postoperative long-term results. In this study, upper-pole fullness of the breast and whether the bottoming-out deformity was developed or not were compared in the consecutive 50 patients who had bilateral reduction mammaplasty by using the inferior pedicle and superomedial pedicle techniques in the ones Wise pattern skin excision was planned. Upper-pole fullness was observed in all cases of the group undergoing surgery with the superomedial pedicle technique, however it was observed in 31.6% of the cases undergoing surgery with the inferior pedicle technique. A statistically significant difference was determined between the rates of development of the bottoming-out deformity according to the techniques (p<0.01). When we compare the inferior pedicle and superomedial pedicle techniques in Wise pattern which is a frequently used skin excision pattern, more favorable results were achieved by using the superomedial pedicle technique especially in providing upper-pole fullness and in reduction of the bottoming-out deformity.

Anahtar Kelimeler

Breast reduction, pedicle, upper pole fullness

Wise Patern Süperomedial Pedikül ve İnferior Pedikül Meme Küçültme Tekniklerinin Karşılaştırılıması

Öz

Meme küçültme ameliyatları, rekonstrüktif ve estetik cerrahi ameliyatları arasında en sık uygulananlardandır. Bu ameliyatlarda en önemli amaç ağırlık ve hacmi azaltırken, estetik görünümü ve fonksiyonel işlevi korumaktır. Postoperatif uzun dönem sonuçlarının en iyi şekilde olabilmesi için birçok farklı teknik geliştirilmiştir. Çalışmada “Wise patern” cilt eksizyonu planlanmış meme küçültme hastalarında inferior pedikül ve süperomedial pedikül teknikleri ile bilateral redüksiyon mammoplasti uygulanan ardışık 50 hastada, meme üst pol dolgunlukları ve “bottoming-out” deformitesi gelişip gelişmemesi karşılaştırılmıştır. Süperomedial pedikül uygulanan grupta olguların tümünde üst polde dolgunluk saptanırken, inferior pedikül uygulanan grupta %31,6 oranında üst pol dolgunluğu saptanmıştır. Tekniklere göre “bottoming-out” deformitesi gelişme oranları arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p

Anahtar Kelimeler

meme küçültme, pedikül, üst pol dolgunluğu

Kaynakça

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