We have located links that may give you full text access.
Comparative Study
Journal Article
Comparative Outcomes of Inferior Pedicle and Superomedial Pedicle Technique With Wise Pattern Reduction in Gigantomastic Patients.
Annals of Plastic Surgery 2018 March
INTRODUCTION: Although multiple pedicle and skin excision techniques exist for gigantomastic breast reduction, no consensus exists as to which method is most effective in providing an aesthetically pleasing breast, especially in the long-term period. This study aimed to compare the aesthetic and surgical outcomes between inferior pedicle and superomedial pedicle reductions, which both use Wise pattern skin excision in gigantomastic patients.
METHODS: A prospective study was planned, and the number of patients was determined before the beginning of the study. Fifty inferior pedicle breast reductions (25 patients) were matched to 50 superomedial pedicle breast reductions (25 patients) after a 1-year postoperative period. Matching was done based on age, body mass index, size of reduction, minor and major postoperative complications, symptomatic relief, long-term measurements of the nipple-areola complex position, and inferior pole length elongation at 1 year postoperatively.
RESULTS: There was no significant difference in complications between the inferior and superomedial pedicle groups. The mean resection weight was 1320 (right) and 1355 g (left) in the inferior pedicle group and 1380 (right) and 1310 g (left) in the superomedial pedicle group (P < 0.05). The mean elongation of the nipple-areola complex to inframamarian fold distance was 1.97 (right) and 2.19 cm (left) in the inferior pedicle group and 2.15 (right) and 2.26 cm (left) in the superomedial pedicle group (P < 0.05). At 1 year postoperatively, the mean suprasternal notch to nipple distance was 22.10 (right) and 22.33 cm (left) in the inferior pedicle group and 22.90 (right) and 22.14 cm (left) in the superomedial pedicle group (P < 0.05). All patients achieved symptomatic relief.
DISCUSSION: This study shows that the inferior pedicle is not superior to the superomedial pedicle technique with Wise patern skin excision in gigantomastic patients. Although both pedicle techniques generate acceptable aesthetic outcomes, bottoming-out has occurred in each of the groups with time. To prevent this deformity, some pedicle modifications may be required.
METHODS: A prospective study was planned, and the number of patients was determined before the beginning of the study. Fifty inferior pedicle breast reductions (25 patients) were matched to 50 superomedial pedicle breast reductions (25 patients) after a 1-year postoperative period. Matching was done based on age, body mass index, size of reduction, minor and major postoperative complications, symptomatic relief, long-term measurements of the nipple-areola complex position, and inferior pole length elongation at 1 year postoperatively.
RESULTS: There was no significant difference in complications between the inferior and superomedial pedicle groups. The mean resection weight was 1320 (right) and 1355 g (left) in the inferior pedicle group and 1380 (right) and 1310 g (left) in the superomedial pedicle group (P < 0.05). The mean elongation of the nipple-areola complex to inframamarian fold distance was 1.97 (right) and 2.19 cm (left) in the inferior pedicle group and 2.15 (right) and 2.26 cm (left) in the superomedial pedicle group (P < 0.05). At 1 year postoperatively, the mean suprasternal notch to nipple distance was 22.10 (right) and 22.33 cm (left) in the inferior pedicle group and 22.90 (right) and 22.14 cm (left) in the superomedial pedicle group (P < 0.05). All patients achieved symptomatic relief.
DISCUSSION: This study shows that the inferior pedicle is not superior to the superomedial pedicle technique with Wise patern skin excision in gigantomastic patients. Although both pedicle techniques generate acceptable aesthetic outcomes, bottoming-out has occurred in each of the groups with time. To prevent this deformity, some pedicle modifications may be required.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app