Pedicle Selection and Design in Reduction Mammaplasty: The Role of Preoperative Fluorescence Imaging
Breast reduction has a wide selection of pedicles but often relies on the surgeon's preference and experience. Necrosis of the nipple-areola complex (NAC) is a catastrophic complication of breast reduction surgery. To solve the above problem objectively, we applied fluorescence imaging technolo...
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| Veröffentlicht in: | Aesthetic surgery journal 2024-05, Vol.44 (6), p.597-604 |
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| creator | Lin, Yan Li, Haoran Li, Zhengyao Chen, Lin Xing, Wenshan Zhang, Xiaoyu Mu, Dali |
| description | Breast reduction has a wide selection of pedicles but often relies on the surgeon's preference and experience. Necrosis of the nipple-areola complex (NAC) is a catastrophic complication of breast reduction surgery.
To solve the above problem objectively, we applied fluorescence imaging technology to the pedicle selection and design of breast reduction surgery for the first time, so that the dominant vessels of the NAC were included in the designed pedicle.
We retrospectively enrolled 120 patients with breast reduction (a total of 239 breasts). We compared 60 patients who underwent breast reduction without fluorescence imaging for pedicle selection (Group A) with 60 patients who underwent pedicle selection with fluorescence imaging (Group B). The NAC blood supply was monitored after the operation.
In this study, 60 Group A cases (119 breasts) and 60 Group B cases (120 breasts) were analyzed. There were no statistically significant differences in patient demographic data or intraoperative resection weights. There were 7 cases of NAC necrosis in Group A (1 case of complete necrosis and 6 cases of partial necrosis), while no NAC necrosis occurred in Group B. There was a significant difference in the rate of NAC necrosis between the 2 groups.
Preoperative fluorescence imaging can guide the selection and design of breast reduction, significantly reducing postoperative NAC blood supply obstacles and necrosis. |
| doi_str_mv | 10.1093/asj/sjae011 |
| format | Article |
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To solve the above problem objectively, we applied fluorescence imaging technology to the pedicle selection and design of breast reduction surgery for the first time, so that the dominant vessels of the NAC were included in the designed pedicle.
We retrospectively enrolled 120 patients with breast reduction (a total of 239 breasts). We compared 60 patients who underwent breast reduction without fluorescence imaging for pedicle selection (Group A) with 60 patients who underwent pedicle selection with fluorescence imaging (Group B). The NAC blood supply was monitored after the operation.
In this study, 60 Group A cases (119 breasts) and 60 Group B cases (120 breasts) were analyzed. There were no statistically significant differences in patient demographic data or intraoperative resection weights. There were 7 cases of NAC necrosis in Group A (1 case of complete necrosis and 6 cases of partial necrosis), while no NAC necrosis occurred in Group B. There was a significant difference in the rate of NAC necrosis between the 2 groups.
Preoperative fluorescence imaging can guide the selection and design of breast reduction, significantly reducing postoperative NAC blood supply obstacles and necrosis.</description><identifier>ISSN: 1090-820X</identifier><identifier>EISSN: 1527-330X</identifier><identifier>DOI: 10.1093/asj/sjae011</identifier><identifier>PMID: 38271223</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Breast - diagnostic imaging ; Breast - surgery ; Female ; Humans ; Mammaplasty - adverse effects ; Mammaplasty - methods ; Middle Aged ; Necrosis ; Nipples - blood supply ; Nipples - surgery ; Optical Imaging ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Preoperative Care - methods ; Retrospective Studies ; Surgical Flaps - blood supply ; Treatment Outcome ; Young Adult</subject><ispartof>Aesthetic surgery journal, 2024-05, Vol.44 (6), p.597-604</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c289t-882c33e0c2a0d8a79a7eb814074caa538b6b41ef36a58434db2070ce479fec063</citedby><cites>FETCH-LOGICAL-c289t-882c33e0c2a0d8a79a7eb814074caa538b6b41ef36a58434db2070ce479fec063</cites><orcidid>0000-0002-8062-4504</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38271223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Yan</creatorcontrib><creatorcontrib>Li, Haoran</creatorcontrib><creatorcontrib>Li, Zhengyao</creatorcontrib><creatorcontrib>Chen, Lin</creatorcontrib><creatorcontrib>Xing, Wenshan</creatorcontrib><creatorcontrib>Zhang, Xiaoyu</creatorcontrib><creatorcontrib>Mu, Dali</creatorcontrib><title>Pedicle Selection and Design in Reduction Mammaplasty: The Role of Preoperative Fluorescence Imaging</title><title>Aesthetic surgery journal</title><addtitle>Aesthet Surg J</addtitle><description>Breast reduction has a wide selection of pedicles but often relies on the surgeon's preference and experience. Necrosis of the nipple-areola complex (NAC) is a catastrophic complication of breast reduction surgery.
To solve the above problem objectively, we applied fluorescence imaging technology to the pedicle selection and design of breast reduction surgery for the first time, so that the dominant vessels of the NAC were included in the designed pedicle.
We retrospectively enrolled 120 patients with breast reduction (a total of 239 breasts). We compared 60 patients who underwent breast reduction without fluorescence imaging for pedicle selection (Group A) with 60 patients who underwent pedicle selection with fluorescence imaging (Group B). The NAC blood supply was monitored after the operation.
In this study, 60 Group A cases (119 breasts) and 60 Group B cases (120 breasts) were analyzed. There were no statistically significant differences in patient demographic data or intraoperative resection weights. There were 7 cases of NAC necrosis in Group A (1 case of complete necrosis and 6 cases of partial necrosis), while no NAC necrosis occurred in Group B. There was a significant difference in the rate of NAC necrosis between the 2 groups.
Preoperative fluorescence imaging can guide the selection and design of breast reduction, significantly reducing postoperative NAC blood supply obstacles and necrosis.</description><subject>Adult</subject><subject>Breast - diagnostic imaging</subject><subject>Breast - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Mammaplasty - adverse effects</subject><subject>Mammaplasty - methods</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>Nipples - blood supply</subject><subject>Nipples - surgery</subject><subject>Optical Imaging</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Preoperative Care - methods</subject><subject>Retrospective Studies</subject><subject>Surgical Flaps - blood supply</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1090-820X</issn><issn>1527-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1Lw0AQhhdRbK2evMseBYnO7qbJxptUq4WKpVboLUw2k5qSL3cTof_eSKunGYbnfRkexi4F3AqI1B267Z3bIoEQR2woxjL0lIL1cb9DBJ6WsB6wM-e2AD0e-KdsoLQMhZRqyNIFpbkpiL9TQabN64pjlfJHcvmm4nnFl5R2-_srliU2Bbp2d89Xn8SXdZ-rM76wVDdksc2_iU-LrrbkDFWG-KzETV5tztlJhoWji8McsY_p02ry4s3fnmeTh7lnpI5aT2tplCIwEiHVGEYYUqKFD6FvEMdKJ0HiC8pUgGPtKz9NJIRgyA-jjAwEasSu972Nrb86cm1c5v0nRYEV1Z2LZSQjCLQSfo_e7FFja-csZXFj8xLtLhYQ_2qNe63xQWtPXx2Ku6Sk9J_986h-AL01dPA</recordid><startdate>20240515</startdate><enddate>20240515</enddate><creator>Lin, Yan</creator><creator>Li, Haoran</creator><creator>Li, Zhengyao</creator><creator>Chen, Lin</creator><creator>Xing, Wenshan</creator><creator>Zhang, Xiaoyu</creator><creator>Mu, Dali</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8062-4504</orcidid></search><sort><creationdate>20240515</creationdate><title>Pedicle Selection and Design in Reduction Mammaplasty: The Role of Preoperative Fluorescence Imaging</title><author>Lin, Yan ; Li, Haoran ; Li, Zhengyao ; Chen, Lin ; Xing, Wenshan ; Zhang, Xiaoyu ; Mu, Dali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-882c33e0c2a0d8a79a7eb814074caa538b6b41ef36a58434db2070ce479fec063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Breast - diagnostic imaging</topic><topic>Breast - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Mammaplasty - adverse effects</topic><topic>Mammaplasty - methods</topic><topic>Middle Aged</topic><topic>Necrosis</topic><topic>Nipples - blood supply</topic><topic>Nipples - surgery</topic><topic>Optical Imaging</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Preoperative Care - methods</topic><topic>Retrospective Studies</topic><topic>Surgical Flaps - blood supply</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Yan</creatorcontrib><creatorcontrib>Li, Haoran</creatorcontrib><creatorcontrib>Li, Zhengyao</creatorcontrib><creatorcontrib>Chen, Lin</creatorcontrib><creatorcontrib>Xing, Wenshan</creatorcontrib><creatorcontrib>Zhang, Xiaoyu</creatorcontrib><creatorcontrib>Mu, Dali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic surgery journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Yan</au><au>Li, Haoran</au><au>Li, Zhengyao</au><au>Chen, Lin</au><au>Xing, Wenshan</au><au>Zhang, Xiaoyu</au><au>Mu, Dali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pedicle Selection and Design in Reduction Mammaplasty: The Role of Preoperative Fluorescence Imaging</atitle><jtitle>Aesthetic surgery journal</jtitle><addtitle>Aesthet Surg J</addtitle><date>2024-05-15</date><risdate>2024</risdate><volume>44</volume><issue>6</issue><spage>597</spage><epage>604</epage><pages>597-604</pages><issn>1090-820X</issn><eissn>1527-330X</eissn><abstract>Breast reduction has a wide selection of pedicles but often relies on the surgeon's preference and experience. Necrosis of the nipple-areola complex (NAC) is a catastrophic complication of breast reduction surgery.
To solve the above problem objectively, we applied fluorescence imaging technology to the pedicle selection and design of breast reduction surgery for the first time, so that the dominant vessels of the NAC were included in the designed pedicle.
We retrospectively enrolled 120 patients with breast reduction (a total of 239 breasts). We compared 60 patients who underwent breast reduction without fluorescence imaging for pedicle selection (Group A) with 60 patients who underwent pedicle selection with fluorescence imaging (Group B). The NAC blood supply was monitored after the operation.
In this study, 60 Group A cases (119 breasts) and 60 Group B cases (120 breasts) were analyzed. There were no statistically significant differences in patient demographic data or intraoperative resection weights. There were 7 cases of NAC necrosis in Group A (1 case of complete necrosis and 6 cases of partial necrosis), while no NAC necrosis occurred in Group B. There was a significant difference in the rate of NAC necrosis between the 2 groups.
Preoperative fluorescence imaging can guide the selection and design of breast reduction, significantly reducing postoperative NAC blood supply obstacles and necrosis.</abstract><cop>England</cop><pmid>38271223</pmid><doi>10.1093/asj/sjae011</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8062-4504</orcidid></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE |
| subjects | Adult Breast - diagnostic imaging Breast - surgery Female Humans Mammaplasty - adverse effects Mammaplasty - methods Middle Aged Necrosis Nipples - blood supply Nipples - surgery Optical Imaging Postoperative Complications - etiology Postoperative Complications - prevention & control Preoperative Care - methods Retrospective Studies Surgical Flaps - blood supply Treatment Outcome Young Adult |
| title | Pedicle Selection and Design in Reduction Mammaplasty: The Role of Preoperative Fluorescence Imaging |
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