TY - JOUR
T1 - Surgical treatment of gynecomastia: Complications and outcomes
AU - Li, Chun-Chang
AU - Fu, Ju-Peng
AU - Chang, Shun-Cheng
AU - Chen, Tim-Mo
AU - Chen, Shyi-Gen
N1 - 被引用次數:3
Export Date: 21 March 2016
CODEN: APCSD
通訊地址: Chen, S.-G.; Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, Cheng-Kung Rd, Sec 2, Taipei 114, Taiwan; 電子郵件: [email protected]
參考文獻: Narula, H.S., Carlson, H.E., Gynecomastia (2007) Endocrinology and Metabolism Clinics of North America, 36 (2), pp. 497-519. , DOI 10.1016/j.ecl.2007.03.013, PII S0889852907000308, Andrology; Nuttall, F.Q., Gynecomastia as a physical finding in normal men (1979) Journal of Clinical Endocrinology and Metabolism, 48 (2), pp. 338-340; Niewoehner, C.B., Nuttall, F.Q., Gynecomastia in a hospitalized male population (1984) American Journal of Medicine, 77 (4), pp. 633-638; Bembo, S.A., Carlson, H.E., Gynecomastia: Its features, and when and how to treat it (2004) Cleveland Clinic Journal of Medicine, 71 (6), pp. 511-517; Simon, B.E., Hoffman, S., Kahn, S., Classification and surgical correction of gy-necomastia (1973) Plast Reconstr Surg., 51, pp. 48-56; Webster, J.P., Mastectomy for gynecomastia through a semicircular intra-areolar incision (1946) Ann Surg., 124, pp. 557-575; Benelli, L., A new periareolar mammaplasty: The 'round block' technique (1990) Aesthetic Plastic Surgery, 14 (2), pp. 93-100; Hodgson, E.L.B., Fruhstorfer, B.H., Malata, C.M., Ultrasonic liposuction in the treatment of gynecomastia (2005) Plastic and Reconstructive Surgery, 116 (2), pp. 646-653. , DOI 10.1097/01.prs.0000173441.57812.e8; Rohrich, R.J., Ha, R.Y., Kenkel, J.M., Adams Jr., W.P., Classification and management of gynecomastia: Defining the role of ultrasound-assisted liposuction (2003) Plastic and Reconstructive Surgery, 111 (2), pp. 909-923. , DOI 10.1097/01.PRS.0000042146.40379.25; Fruhstorfer, B.H., Malata, C.M., A systematic approach to the surgical treatment of gynaecomastia (2003) British Journal of Plastic Surgery, 56 (3), pp. 237-246. , DOI 10.1016/S0007-1226(03)00111-5; Petty, P.M., Solomon, M., Buchel, E.W., Gynecomastia: Evolving paradigm of management and comparison of techniques (2010) Plast Reconstr Surg., 125, pp. 1301-1308; Cordova, A., Moschella, F., Algorithm for clinical evaluation and surgical treatment of gynaecomastia (2008) Journal of Plastic, Reconstructive and Aesthetic Surgery, 61 (1), pp. 41-49. , DOI 10.1016/j.bjps.2007.09.033, PII S1748681507004937; Hammond, D.C., Arnold, J.F., Simon, A.M., Capraro, P.A., Combined use of ultrasonic liposuction with the pull-through technique for the treatment of gynecomastia (2003) Plastic and Reconstructive Surgery, 112 (3), pp. 891-895. , DOI 10.1097/01.PRS.0000072254.75067.F7; Tu, L.C., Tung, K.Y., Chen, H.C., Eccentric mastectomy and zigzag periareolar incision for gynecomastia (2009) Aesthetic Plast Surg., 33, pp. 549-554; Lanitis, S., Starren, E., Read, J., Surgical management of gynaecomastia: Outcomes from our experience (2008) Breast., 17, pp. 596-603; Wiesman, I.M., Lehman Jr., J.A., Parker, M.G., Tantri, M.D.P., Wagner, D.S., Pedersen, J.C., Gynecomastia: An outcome analysis (2004) Annals of Plastic Surgery, 53 (2), pp. 97-101. , DOI 10.1097/01.sap.0000116256.01831.17; Pitanguy, I., Transareolar incision for gynecomastia (1966) Plast Reconstr Surg., 38, pp. 414-419; Letterman, G., Schurter, M., Gynecomastia (1982) Male Aesthetic Surgery, pp. 295-316. , Courtiss EH, ed St. Louis, MO: Mosby; Courtiss, E.H., Gynecomastia: Analysis of 159 patients and current recommendation for treatment (1987) Plast Reconstr Surg., 79, pp. 740-753; Rosenberg, G.J., Gynecomastia: Suction lipectomy as a contemporary solution (1987) Plast Reconstr Surg., 80, pp. 379-386; Boni, R., Tumescent power liposuction in the treatment of the enlarged male breast (2006) Dermatology, 213 (2), pp. 140-143. , DOI 10.1159/000093853; Zocchi, M., Ultrasonic liposculpturing (1992) Aesthetic Plast Surg., 16, pp. 287-298; Tashkandi, M., Al-Qattan, M.M., Hassanain, J.M., Hawary, M.B., Sultan, M., The surgical management of high-grade gynecomastia (2004) Annals of Plastic Surgery, 53 (1), pp. 17-20. , DOI 10.1097/01.sap.0000112347.30612.f4; Maxwell, G.P., Gingrass, M.K., Ultrasound-assisted lipoplasty: A clinical study of 250 consecutive patients (1998) Plastic and Reconstructive Surgery, 101 (1), pp. 189-202. , DOI 10.1097/00006534-199801000-00034; Ablaza, V.J., Jones, M.R., Gingrass, M.K., Ultrasound assisted lipoplasty (1998) Plast Surg Nurs., 18, pp. 13-25; Morselli, P.G., "Pull-through": A new technique for breast reduction in gy-necomastia (1996) Plast Reconstr Surg., 97, pp. 450-454; Ramon, Y., Fodor, L., Peled, I.J., Eldor, L., Egozi, D., Ullmann, Y., Multimodality gynecomastia repair by cross-chest power-assisted superficial liposuction combined with endoscopic-assisted pull-through excision (2005) Annals of Plastic Surgery, 55 (6), pp. 591-594. , DOI 10.1097/01.sap.0000189664.88464.34; Handschin, A.E., Bietry, D., Husler, R., Banic, A., Constantinescu, M., Surgical management of gynecomastia - A 10-year analysis (2008) World Journal of Surgery, 32 (1), pp. 38-44. , DOI 10.1007/s00268-007-9280-3
PY - 2012
Y1 - 2012
N2 - Gynecomastia is defined as the benign enlargement of the male breast. Multiple surgical options have been used to improve outcomes. The aim of this study was to analyze the surgical approaches to the treatment of gynecomastia and their outcomes over a 10-year period. All patients undergoing surgical correction of gynecomastia in our department between 2000 and 2010 were included for retrospective evaluation. The data were analyzed for etiology, stage of gynecomastia, surgical technique, complications, risk factors, and revision rate. The surgical result was evaluated with self-assessment questionnaires. A total of 41 patients with 75 operations were included. Techniques included subcutaneous mastectomy alone or with additional ultrasound-assisted liposuction (UAL) and isolated UAL. The surgical revision rate for all patients was 4.8%. The skin-sparing procedure gave good surgical results in grade IIb and grade III gynecomastia with low revision and complication rates. The self-assessment report revealed a good level of overall satisfaction and improvement in self-confidence (average scores 9.4 and 9.2, respectively, on a 10-point scale). The treatment of gynecomastia requires an individualized approach. Subcutaneous mastectomy combined with UAL could be used as the first choice for surgical treatment of grade II and III gynecomastia. Copyright © 2012 Lippincott Williams &Wilkins.
AB - Gynecomastia is defined as the benign enlargement of the male breast. Multiple surgical options have been used to improve outcomes. The aim of this study was to analyze the surgical approaches to the treatment of gynecomastia and their outcomes over a 10-year period. All patients undergoing surgical correction of gynecomastia in our department between 2000 and 2010 were included for retrospective evaluation. The data were analyzed for etiology, stage of gynecomastia, surgical technique, complications, risk factors, and revision rate. The surgical result was evaluated with self-assessment questionnaires. A total of 41 patients with 75 operations were included. Techniques included subcutaneous mastectomy alone or with additional ultrasound-assisted liposuction (UAL) and isolated UAL. The surgical revision rate for all patients was 4.8%. The skin-sparing procedure gave good surgical results in grade IIb and grade III gynecomastia with low revision and complication rates. The self-assessment report revealed a good level of overall satisfaction and improvement in self-confidence (average scores 9.4 and 9.2, respectively, on a 10-point scale). The treatment of gynecomastia requires an individualized approach. Subcutaneous mastectomy combined with UAL could be used as the first choice for surgical treatment of grade II and III gynecomastia. Copyright © 2012 Lippincott Williams &Wilkins.
KW - gynecomastia
KW - liposuction
KW - mastectomy
KW - pull-through technique
KW - adolescent
KW - adult
KW - aged
KW - article
KW - breast reconstruction
KW - human
KW - male
KW - methodology
KW - middle aged
KW - retrospective study
KW - treatment outcome
KW - Adolescent
KW - Adult
KW - Aged
KW - Gynecomastia
KW - Humans
KW - Male
KW - Mammaplasty
KW - Middle Aged
KW - Retrospective Studies
KW - Treatment Outcome
KW - Young Adult
U2 - 10.1097/SAP.0b013e318222834d
DO - 10.1097/SAP.0b013e318222834d
M3 - Article
SN - 0148-7043
VL - 69
SP - 510
EP - 515
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 5
ER -