Volume 10, Issue 3 (7-2021)                   WJPS 2021, 10(3): 78-83 | Back to browse issues page


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Bayati S, Keikhaei B, Bahadoram M, Mahmoudian-Sani M, Vaneshani M, behbahani F. Radiographic Features of the Maxillofacial Anomalies in Beta-Thalassemia Major: With New View. WJPS. 2021; 10 (3) :78-83
URL: http://wjps.ir/article-1-841-en.html
Department of Oral & Maxillofacial Radiology, Dental Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz. Iran
Abstract:   (141 Views)
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.
Full-Text [PDF 242 kb]   (60 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2021/09/24 | Accepted: 2021/07/6 | Published: 2021/10/23

References
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12. 12 Kashid AL, Kumbhare S, Sathawane R, Mody R. Comparative evaluation of radiographic features of jaws and teeth on opg (orthopentamogram) in thalassemia major patients and normal individuals. Int J Curr Res 2013;5(15):12.
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16. 1 De Sanctis V, Kattamis C, Canatan D, et al. β-Thalassemia Distribution in the Old World: an Ancient Disease Seen from a Historical Standpoint. Mediterr J Hematol Infect Dis 2017;9(1):e2017018-e. https://pubmed.ncbi.nlm.nih.gov/28293406/
17. 2 Khodaei GH, Farbod N, Zarif B, Nateghi S, Saeidi M. Frequency of thalassemia in Iran and Khorasan Razavi. Int J Pediatr 2013;1(1):45-50. https://ijp.mums.ac.ir/article_2044.html
18. 3 Rechavi G, Rivella S. Regulation of iron absorption in hemoglobinopathies. Curr Mol Med 2008;8(7):646-62. https://pubmed.ncbi.nlm.nih.gov/18991651/
19. 4 Nienhuis AW, Nathan DG. Pathophysiology and Clinical Manifestations of the β-Thalassemias. Cold Spring Harb Perspect Med 2012;2(12):a011726-a. https://pubmed.ncbi.nlm.nih.gov/23209183/
20. 5 Helmi N, Bashir M, Shireen A, Ahmed IM. Thalassemia review: features, dental considerations and management. Electron Physician 2017;9(3):4003-8. https://pubmed.ncbi.nlm.nih.gov/28461877/
21. 6 Amirabadi F, Saravani S, Miri-Aliabad G, Khorashadi-Zadeh M. The Association between Dental Health Status and Oral Health-Related Quality of Life of Children Diagnosed with beta-Thalassemia Major in Zahedan City, Iran. Int J Pediatr 2019;7(2):8985-91. https://ijp.mums.ac.ir/article_11475.html
22. 7 Hazza'a A, Al-Jamal G. Radiographic features of the jaws and teeth in thalassaemia major. Dentomaxillofac Radiol 2006;35(4):283-8. https://pubmed.ncbi.nlm.nih.gov/16798927/
23. 8 Valizadeh N, Farrokhi F, Alinejad V, et al. Bone density in transfusion dependent thalassemia patients in Urmia, Iran. Iran J Ped Hematol Oncol 2014;4(2):68-71. https://pubmed.ncbi.nlm.nih.gov/25002928/
24. 9 Liumbruno G, Bennardello F, Lattanzio A, Piccoli P, Rossetti G. Recommendations for the transfusion of red blood cells. Blood Transfus 2009;7(1):49-64. https://pubmed.ncbi.nlm.nih.gov/19290081/
25. 10 Hazza'a AM, Al-Jamal G. Dental development in subjects with thalassemia major. J Contemp Dent Pract 2006;7(4):63. https://pubmed.ncbi.nlm.nih.gov/16957792/
26. 11 White SC, Pharoah MJ. White and Pharoah's Oral Radiology E-Book: Principles and Interpretation: Elsevier Health Sciences; 2018.
27. 12 Kashid AL, Kumbhare S, Sathawane R, Mody R. Comparative evaluation of radiographic features of jaws and teeth on opg (orthopentamogram) in thalassemia major patients and normal individuals. Int J Curr Res 2013;5(15):12.
28. 13 Cutando SA, Gil MJ, López-González GJD. Thalassemias and their dental implications. Med Oral 2002;7(1):36. https://pubmed.ncbi.nlm.nih.gov/11788807/
29. 14 Amini F, Jafari A, Eslamian L, Sharifzadeh S. A cephalometric study on craniofacial morphology of Iranian children with beta‐thalassemia major. Orthod Craniofac Res 2007;10(1):36-44. https://pubmed.ncbi.nlm.nih.gov/17284245/
30. 15 Jirarattanasopa V, Hooncharoen P, Mekaewkunchorn A, Torcharus K. Effect of different transfusion regimens on craniofacial appearance and dentition in severe thalassemic children. Southeast Asian J Trop Med Public Health. 2009;40(6):1371-6.

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