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Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results
PURPOSE: Congenital breast asymmetry is a serious gynecological malformation for affected patients. The condition hits young women in puberty and is associated with socio-esthetic handicap, depression, and psychosexual problems. Surgical treatment is usually early in the patient's lifetime, so...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8782804/ https://www.ncbi.nlm.nih.gov/pubmed/34480228 http://dx.doi.org/10.1007/s00404-021-06218-0 |
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author | Noisser, Vivien Eigenberger, Andreas Weiherer, Maximilian Seitz, Stephan Prantl, Lukas Brébant, Vanessa |
author_facet | Noisser, Vivien Eigenberger, Andreas Weiherer, Maximilian Seitz, Stephan Prantl, Lukas Brébant, Vanessa |
author_sort | Noisser, Vivien |
collection | PubMed |
description | PURPOSE: Congenital breast asymmetry is a serious gynecological malformation for affected patients. The condition hits young women in puberty and is associated with socio-esthetic handicap, depression, and psychosexual problems. Surgical treatment is usually early in the patient's lifetime, so a long-term sustainable solution is important. Although postoperative outcome has been evaluated in several studies before, this study is the first to analyze which objective parameters have the greatest influence on subjective satisfaction with long-term results. METHODS: Thirty-four patients diagnosed with congenital breast asymmetry that underwent either lipofilling or implant therapy between the years of 2008 to 2019 were examined. On average, our collective comprised patients seven years after surgery. Data were mainly gathered through manual measurements, patient-reported outcome measures (Breast Q(™)), and breast volumetry based on 3D scans (Vectra(®) H2, Canfield Scientific). RESULTS: Among all analyzed parameters, only areolar diameter correlated significantly negatively with the subjective outcome satisfaction of the patient. Regarding the subjective assessment of postoperative satisfaction with similarity of the breasts, again the mean areolar diameter, but also the difference in areolar diameter and breast volume between the right and left breasts correlated significantly negatively. CONCLUSION: Areolar diameter was revealed as being a significant factor influencing subjective long-term satisfaction in breast asymmetry patients. Moreover, 3D volumetry proves to be an effective tool to substantiate subjective patient assessments. Our findings may lead to further improvements to surgical planning and will be expanded in further studies. |
format | Online Article Text |
id | pubmed-8782804 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-87828042022-02-02 Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results Noisser, Vivien Eigenberger, Andreas Weiherer, Maximilian Seitz, Stephan Prantl, Lukas Brébant, Vanessa Arch Gynecol Obstet General Gynecology PURPOSE: Congenital breast asymmetry is a serious gynecological malformation for affected patients. The condition hits young women in puberty and is associated with socio-esthetic handicap, depression, and psychosexual problems. Surgical treatment is usually early in the patient's lifetime, so a long-term sustainable solution is important. Although postoperative outcome has been evaluated in several studies before, this study is the first to analyze which objective parameters have the greatest influence on subjective satisfaction with long-term results. METHODS: Thirty-four patients diagnosed with congenital breast asymmetry that underwent either lipofilling or implant therapy between the years of 2008 to 2019 were examined. On average, our collective comprised patients seven years after surgery. Data were mainly gathered through manual measurements, patient-reported outcome measures (Breast Q(™)), and breast volumetry based on 3D scans (Vectra(®) H2, Canfield Scientific). RESULTS: Among all analyzed parameters, only areolar diameter correlated significantly negatively with the subjective outcome satisfaction of the patient. Regarding the subjective assessment of postoperative satisfaction with similarity of the breasts, again the mean areolar diameter, but also the difference in areolar diameter and breast volume between the right and left breasts correlated significantly negatively. CONCLUSION: Areolar diameter was revealed as being a significant factor influencing subjective long-term satisfaction in breast asymmetry patients. Moreover, 3D volumetry proves to be an effective tool to substantiate subjective patient assessments. Our findings may lead to further improvements to surgical planning and will be expanded in further studies. Springer Berlin Heidelberg 2021-09-03 2022 /pmc/articles/PMC8782804/ /pubmed/34480228 http://dx.doi.org/10.1007/s00404-021-06218-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | General Gynecology Noisser, Vivien Eigenberger, Andreas Weiherer, Maximilian Seitz, Stephan Prantl, Lukas Brébant, Vanessa Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
title | Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
title_full | Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
title_fullStr | Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
title_full_unstemmed | Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
title_short | Surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
title_sort | surgery of congenital breast asymmetry—which objective parameter influences the subjective satisfaction with long-term results |
topic | General Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8782804/ https://www.ncbi.nlm.nih.gov/pubmed/34480228 http://dx.doi.org/10.1007/s00404-021-06218-0 |
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