Hamza, F., Aboul Fotouh, A., El Banoby, T., Awadeen, A., Sharaf, M. (2018). Comparative Study between Breast Reduction Surgery in Macromastia With and Without Ultrasonographic Pedicle Determination. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 131-137. doi: 10.21608/ejprs.2018.215078
F Hamza; A Aboul Fotouh; Tarek El Banoby; A Awadeen; M Sharaf. "Comparative Study between Breast Reduction Surgery in Macromastia With and Without Ultrasonographic Pedicle Determination". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 131-137. doi: 10.21608/ejprs.2018.215078
Hamza, F., Aboul Fotouh, A., El Banoby, T., Awadeen, A., Sharaf, M. (2018). 'Comparative Study between Breast Reduction Surgery in Macromastia With and Without Ultrasonographic Pedicle Determination', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 131-137. doi: 10.21608/ejprs.2018.215078
Hamza, F., Aboul Fotouh, A., El Banoby, T., Awadeen, A., Sharaf, M. Comparative Study between Breast Reduction Surgery in Macromastia With and Without Ultrasonographic Pedicle Determination. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 131-137. doi: 10.21608/ejprs.2018.215078
Comparative Study between Breast Reduction Surgery in Macromastia With and Without Ultrasonographic Pedicle Determination
1The Departments of Plastic Surgery & Burn and Radiodiagnosis, Al-Azhar University, Cairo, Egypt
2The Department of Plastic Surgery & Burn , Al-Azhar University, Cairo, Egypt
Abstract
Background: When performing breast reduction surgery, it is very important to preserve the vascularity of tissues, especially of the nipple-areolar complex (NAC). Preoperative ultrasonographic color Doppler imaging is used for determination of major supplier vessels of the nipple-areola complex. Pedicles containing these vessels were designed for reduction mammaplasty. Patient and Methods: The study was done at Al-Azhar University Hospitals from April 2014 and April 2016 including 24 cases (48 breasts) with bilateral macromastia and age group < br />20-48 years with follow-up period 6 month. Group (A) 12 cases submitted for breast reduction using preoperative ultrasonographic color Doppler imaging for pedicle determination, group (B) 12 cases submitted for breast reduction via inferior pedicle technique. Result: The selected cases were operated according their group. In Group A: 12 cases after preoperative Doppler ultrasonography for each breast, the pedicle determined was; six cases with inferior pedicle design, four cases with superomedial pedicle design, and two cases with superior pedicle design, none of the patients had areola necrosis. In Group B: All cases underwent reduction mammoplasty using inferior pedicle technique, none of the patients had areola necrosis. Conclusion: Preoperative ultrasonographic color Doppler imaging for evaluation of the main nipple-areola complex vascular supply has certain advantages. Therefore, we strongly advise using this modality for evaluation of the main nippleareola complex vascular supply that specify which type reduction mammaplasty techniques for every patient.
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