Jinekomastide Geniş Alanda Ultrasonik Liposuction: Cerrahi olarak Gland Çıkarmadan Alternatif Yaklaşım

Atilla Adnan Eyüboğlu , Tonguc Mustafa Isken

  • Atilla Adnan Eyüboğlu: İSTANBUL AREL ÜNİVERSİTESİ
  • Tonguc Mustafa Isken: BAHÇEŞEHİR ÜNİVERSİTESİ
  • Year : 2024
  • Vol : 40
  • Issue : 1
  •  Page : 1-7
ÖZ
Amaç: Göğüs duvarı üzerinde yapılan cilt ve gland çıkarma işlemler genellikle hastaların tolere etmesi zor olan belirgin izlere sebep olabilmektedir. Cerrahi olarak gland çıkarmadan geniş alanda ultrasonik liposuction yaklaşımını tanımlamaktır. Ayrıca yöntemin komplikasyonları azaltma ve kozmetik sonuçları iyileştirme konusundaki etkinliğini araştırdık. 
Gereçler ve Yöntem: Rohrich II ve III evre jinekomasti hastalar cilt kalitesine göre değerlendirildi. Kriterleri karşılayan 46 hastaya Şubat 2021 ile Nisan 2023 tarihleri arasında kıdemli yazar tarafınca ultrasonic liposuction uygulandı. Bu hastalar, standart liposuction ile birlikte periareolar mastopeksi ve gland eksizyonunu uygulanan 58 hasta ile karşılaştırıldı. 
Bulgular: Çalışmada geniş alanda ultrasonik liposuction uygulanan hastaların %8.7'lik bir komplikasyon oranına sahip olduğunu bulundu. Toplam hastalardan sadece bir tanesinde seroma komplikasyonu yaşadı ve hastaların üçünde residual meme dokusu/pitoz gözlendi. Hastaların hiçbirinde revizyon cerrahisi gerekmedi. Buna karşılık, periareolar mastopeksi ve gland çıkarmayı içeren kontrol grubunun komplikasyon oranı daha yüksekti (%10.3). 
Sonuç: Yara kontraksiyonu için plastik cerrahinin temel prensiplerini kullandık. Yara iyileşme mekanizmalarını geniş bir yüzeye dağıtarak, göğüs duvarında belirgin bir iz oluşturmadan cerrahiye göre daha iyi kozmetik sonuçlar elde ettik.
Anahtar Kelimeler: Geniş Alanda Liposuction, Jinekomasti Cerrahisi, Meme Pitozu, Ultrasonik Liposuction, Vaser Liposuction
Cite this Article As : Eyuboglu AA, Isken MT. Extensive Ultrasonic Liposuction in Gynecomastia: An Alternative Approach without Surgical Gland Excision. Selcuk Med J 2024;40(1): 1-7

Download Citation: Endnote/Zotero/Mendeley (RIS) RIS File

Download Citation: BibTeX BibTeX File

Conflict of interest : The authors declare that they have no conflict of interest.
This article is published under the CC BY-NC 4.0 license.
Selcuk Medical Journal
2024, Vol. 40 (1)
ISSN: 1017-6616
E-ISSN: 2149-8059
Received : , Accepted : , Published Online :

References

  1. 1- Handschin AE, Bietry D, Husler R, et al. Surgical management of gynecomastia -a 10-year analysis. World J Surg. 2008;32(1):38-44.
  2. 2- Braunstein GD. Gynecomastia. N Engl J Med. 1993;328(7):490-5.
  3. 3- Nicolis GL, Modlinger RS, Gabrilove JL. A study of the histopathology of human gynecomastia. J Clin Endocrinol Metab. 1971;32(2):173-8.
  4. 4- Simon BE, Hoffman S, Kahn S. Classification and surgical correction of gynecomastia. Plast Reconstr Surg. 1973;51(1):48-52.
  5. 5- Cordova A, Moschella F. Algorithm for clinical evaluation and surgical treatment of gynaecomastia. J Plast Reconstr Aesthet Surg. 2008;61(1):41-9.
  6. 6- Webster JP. Mastectomy for Gynecomastia Through a Semicircular Intra-areolar Incision. Ann Surg. 1946;124(3):557-75.
  7. 7- Kasielska A, Antoszewski B. Surgical management of gynecomastia: an outcome analysis. Ann Plast Surg. 2013;71(5):471-5.
  8. 8- Song YN, Wang YB, Huang R, et al. Surgical treatment of gynecomastia: mastectomy compared to liposuction technique. Ann Plast Surg. 2014;73(3):275-8.
  9. 9- Rohrich RJ, Ha RY, Kenkel JM, et al. Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg. 2003;111(2):909-23; discussion 924-5.
  10. 10- Jarrar G, Peel A, Fahmy R, et al. Single incision endoscopic surgery for gynaecomastia. J Plast Reconstr Aesthet Surg. 2011;64(9):231-6.
  11. 11- Ince B, Yarar S, Dadaci M. Simultaneous flap thinning with ultrasound-assisted liposuction during free flap surgery: Preliminary results. Microsurgery. 2019;39(2):144-149.
  12. 12- Ince, B., Oltulu, P., Yildirim, M. E. C., et al. Comparison of the effectiveness of ultrasonic liposuction and conventional liposuction in thinning of upper arm. Selcuk Medical Journal, 2017;33(3):50–53.
  13. 13- Klein JA. The tumescent technique. Anesthesia and modified liposuction technique. Dermatol Clin. 1990;8(3):425-37.
  14. 14- Rohrich RJ, Raniere J, Jr., Beran SJ, et al. Patient evaluation and indications for ultrasound-assisted lipoplasty. Clin Plast Surg. 1999;26(2):269-78.
  15. 15- Bracaglia R, Fortunato R, Gentileschi S, et al. Our experience with the so-called pull-through technique combined with liposuction for management of gynecomastia. Ann Plast Surg. 2004;53(1):22-6.
  16. 16- Lista F, Ahmad J. Power-assisted liposuction and the pull-through technique for the treatment of gynecomastia. Plast Reconstr Surg. 2008;121(3):740-747.
  17. 17- Murali B, Vijayaraghavan S, Kishore P, et al. Cross-chest liposuction in gynaecomastia. Indian J Plast Surg. 2011;44(1):81-6.
  18. 18- Yoo KH, Bae JM, Won CY, et al. Laser-Assisted Liposuction Using the Novel 1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia: A Pilot Study. Dermatology. 2015;231(3):224-30.
  19. 19- Cardenas-Camarena L, Dorado C, Guerrero MT, et al. Surgical Masculinization of the Breast: Clinical Classification and Surgical Procedures. Aesthetic Plast Surg. 2017;41(3):507-516.
  20. 20- Wiesman IM, Lehman JA, Jr., Parker MG, et al. Gynecomastia: an outcome analysis. Ann Plast Surg. 2004;53(2):97-101.
  21. 21- Hodgson EL, Fruhstorfer BH, Malata CM. Ultrasonic liposuction in the treatment of gynecomastia. Plast Reconstr Surg. 2005;116(2):646-53; discussion 654-5.
  22. 22- Brown RH, Chang DK, Siy R, et al. Trends in the Surgical Correction of Gynecomastia. Semin Plast Surg. 2015;29(2):122-30.
  23. 23- Zocchi ML. Ultrasonic assisted lipoplasty. Technical refinements and clinical evaluations. Clin Plast Surg. 1996;23(4):575-98.
  24. 24- Rohrich RJ, Beran SJ, Kenkel JM, et al. Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg. 1998;101(4):1090-102; discussion 1117-9.
  25. 25- Gingrass MK, Kenkel JM. Comparing ultrasound-assisted lipoplasty with suction-assisted lipoplasty. Clin Plast Surg. 1999;26(2):283-8
  26. 26- Ince B, Oltulu P, Yildirim M.E.C, et al. Effects of aspiration time on immediate viability of adipocyte cell in ultrasound-assisted liposuction (UAL) and in traditional suction-assisted lipectomy (SAL). J Plast Surg Hand Surg. 2019;53(1):14-19.
  27. 27- Maxwell GP, Gingrass MK. Ultrasound-assisted lipoplasty: a clinical study of 250 consecutive patients. Plast Reconstr Surg. 1998;101(1):189-202; discussion 203-4.
  28. 28- Li CC, Fu JP, Chang SC, Chen TM, et al. Surgical treatment of gynecomastia: complications and outcomes. Ann Plast Surg. 2012;69(5):510-5.
Figure 1
Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
Figure 3
Figure 3
Figure 4
Figure 4
Figure 5
Figure 5
Figure 6
Figure 6