مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
شنبه 1 اردیبهشت 1403
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دوره 10، شماره 3 - ( 1400 )
جلد 10 شماره 3 صفحات 89-84 |
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Chattopadhyay D, Kapoor A, Gupta S, Gaur N, Gupta S. The Passot Technique Revisited: No Vertical Scar Reduction Mammoplasty in Unmarried Females: A Case Series. WJPS 2021; 10 (3) :84-89
URL: http://wjps.ir/article-1-840-fa.html
URL: http://wjps.ir/article-1-840-fa.html
The Passot Technique Revisited: No Vertical Scar Reduction Mammoplasty in Unmarried Females: A Case Series. مجله جهانی جراحی پلاستیک. 1400; 10 (3) :84-89
چکیده: (2145 مشاهده)
BACKGROUND
Macromastia in adolescent girls is a distressing condition. There is an increase in the number of patients opting for reduction mammoplasty in the late teens. The semicircular horizontal method of breast reduction, first described by Passot in 1925 has the advantage of being able to do larger reduction, particularly suitable for pendulous breasts and having a hidden scar in the inframammary fold.
METHODS
Eleven patients of adolescent macromastia were included in this study. It was conducted over a period of 4 years (2013-17) at two teaching institutions in Kolkata and Rishikesh, India. The mean age of the patients was 19.2 years. The Passot technique of reduction mammoplasty was performed in each case and the volume of resected breast tissue recorded by weighing the specimen. The aesthetic outcome was assessed by Lowery scale (volume, contour, placement of the breast mound and inframammary fold). Patient satisfaction was assessed after 6 months of follow up on a scale of 1 to 10, where 1-4 was poor, 5-6 fair, 7-8 good and 9-10 excellent.
RESULTS
Mean total reduction per breast was 856 gm. Patients reported a mean decrease of cup size by 1.5. The aesthetic outcome was excellent in 6 patients and good in 5 patients. Patient satisfaction was excellent in 9 patients and good in 2 patients.
CONCLUSION
Passot technique is a safe and effective technique of reduction mammoplasty and is especially useful in adolescent macromastia where the absence of visible scar on the breasts is very satisfying for the patients.
Macromastia in adolescent girls is a distressing condition. There is an increase in the number of patients opting for reduction mammoplasty in the late teens. The semicircular horizontal method of breast reduction, first described by Passot in 1925 has the advantage of being able to do larger reduction, particularly suitable for pendulous breasts and having a hidden scar in the inframammary fold.
METHODS
Eleven patients of adolescent macromastia were included in this study. It was conducted over a period of 4 years (2013-17) at two teaching institutions in Kolkata and Rishikesh, India. The mean age of the patients was 19.2 years. The Passot technique of reduction mammoplasty was performed in each case and the volume of resected breast tissue recorded by weighing the specimen. The aesthetic outcome was assessed by Lowery scale (volume, contour, placement of the breast mound and inframammary fold). Patient satisfaction was assessed after 6 months of follow up on a scale of 1 to 10, where 1-4 was poor, 5-6 fair, 7-8 good and 9-10 excellent.
RESULTS
Mean total reduction per breast was 856 gm. Patients reported a mean decrease of cup size by 1.5. The aesthetic outcome was excellent in 6 patients and good in 5 patients. Patient satisfaction was excellent in 9 patients and good in 2 patients.
CONCLUSION
Passot technique is a safe and effective technique of reduction mammoplasty and is especially useful in adolescent macromastia where the absence of visible scar on the breasts is very satisfying for the patients.
فهرست منابع
1. Koltz FP, Sbitany H, Myers PR, Shaw BR et al. Reduction mammaplasty in the adolescent female: The URMC experience. Int J Surg 2011;9:229-32. doi: 10.1016/j.ijsu.2010.12.001 [DOI:10.1016/j.ijsu.2010.12.001]
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5. Biesenberger H. Eine neue Methode der mammaplastik. Zentralbl Chir 1928; 55:2382.
6. Passot R. La correction esthetique du prolapsus mammaire par le procede de la transposition du mamelon. Presse Med 1925;33:317-28.
7. Lalonde DH, Lalonde J, French R. The no vertical scar breast reduction: a minor variation that allows to remove vertical scar portion of the inferior pedicle wise pattern T scar. Aesthetic Plast Surg 2003;27:335-44. doi: 10.1007/s00266-003-3006-1 [DOI:10.1007/s00266-003-3006-1]
9. Shin HS, Lee YH, Jung SG, Lee DH et al. Semicircular Horizontal Approach in Breast Reduction: Clinical Experience in 38 Cases. Arch Plast Surg 2015;42:446-52. doi: 10.5999/aps.2015.42.4.446 [DOI:10.5999/aps.2015.42.4.446]
11. White CP, Hynes NM. The horizontal breast reduction: Surgical tips for maintaining projection. Can J Plast Surg 2013;21:167-72. doi: 10.1177/229255031302100308 [DOI:10.1177/229255031302100308]
13. Kraut RY, Brown E, Korownyk C, Katz LS et al. The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. PLoS One 2017;12:e0186591. doi: 10.1371/journal.pone.0186591 [DOI:10.1371/journal.pone.0186591]
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