[Objective evaluation of the results of interventions for breast hypertrophy].
It would appear to be impossible to compare completely different techniques of mammaplasty performed in very different clinical situations. However, we thought it would be useful to approach the result of mammaplasties from a more "orthopaedic" point of view. Such an approach distinguishes populations of patients with different results and in whom the postoperative assessment must take into account the result obtained, the residual scars and the final breast shape. A formula has been developed after multiple attempts: [formula: see text] This formula expresses positive factors: the quantity of glandular tissue removed (in grams), the final appearance of the scars, the appearance of the overall shape of the two reconstructed breasts and the reappearance of ptosis measured from the edges of the breast below the inframammary sulcus (in the erect position). In this way, it is possible to express these positive factors by the multiplying the scores attributed to each of the factors. For example, a resection of 150 g will be scored as 1.5 and a resection of 1,200 g will be scored as 12, i.e. the weight in grams is simply divided by 100 to give the score for weight. The scar will be scored according to an individual scale of 1 to 5. The shape will also be scored according to an individual scale of 1 to 5. The division factors include the length of the inframammary scar (segment 3); this inframammary vertical line will be included directly in the calculation. In contrast, the length of the horizontal inframammary scar will be divided by 10.(ABSTRACT TRUNCATED AT 250 WORDS)
Mitz
V
V
Service de Chirurgie Réparatrice, Hôpital Boucicaut, Paris.
Auclair
E
E
Mouthuy
B
B
Staub
S
S
Dabos
N
N
Lemerle
J P
JP
Vilain
R
R
D000293:Adolescent; D000328:Adult; D001940:Breast / Q000473:pathology / Q000601:surgery*; D002921:Cicatrix / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D008875:Middle Aged; D009929:Organ Size; D013518:Surgery, Plastic / Q000379:methods*
Evaluation objective des résultats des interventions pour hypertrophie mammaire.