Tratamento cirúrgico da assimetria mamária
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Arquivos
Data
2003
Autores
Silva, Ana Lúcia Alves Lemos da [UNIFESP]
Orientadores
Sabino Neto, Miguel [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
No periodo de julho de 2000 a maio de 2002, 31 pacientes com assimetria mamaria de etiologia primaria, entre 16 e 60 anos, foram selecionadas segundo o grau de assimetria e o tipo morfologico apresentados. Realizou-se avaliacoes pre-operatorias e apos 6 meses da cirurgia, por meio de medidas lineares entre pontos toracicos pre-determinados, considerando tambem o diametro e posicionamento da placa areolo papilar, tendo em vista, principalmente, a diferenca que essas medidas apresentavam entre cada lado da paciente, no pre e pos-operatorio aos 6 meses, com o objetivo de avaliar o tratamento cirurgico da assimetria mamaria. A tecnica cirurgica escolhida dependia do tipo morfologico e do desejo da paciente, sendo a mastoplastia redutora nas pacientes com predominio de hipertrofia e a inclusao de implantes de silicone, nas hipomastias. Essa avaliacao objetiva foi correlacionada a opiniao das pacientes, que graduaram de zero a dez, sua satisfacao com o volume e forma mamarios, simetria, cicatriz resultante e sensibilidade. Obteve-se resultado excelente em 23 pacientes, segundo as medidas lineares, a simetria no diametro e posicao da placa areolo papilar tambem foi excelente, em 26 pacientes. Todas estavam satisfeitas com o resultado cirurgico e atribuiram. maior nota para a simetria das mamas e menor para a cicatriz
Between july 2000 and may 2002, 31 patients with breast asymmetry, were selected to evaluate our operative techniques for these deformity. Breast asymmetry was asessed by linear measurementes and by subjective evaluation. The surgical procedure performed depends on the deformity type and patient wishes, reduction mammaplasty was done in patients with hyperplasia and silicone gel implants in those with hypoplasia. Objetive measurements have been correlated with a subjective evaluation of symmetry to elucidate the goals of successful treatment. Patients evaluated the size, shape, symmetry, sensitivity of the breasts and the scars, after 6 months. The linear measurements were excelent in 23 patients, the areolar diameter and location were also excelent in 26 patients. Everyone were satisfied, specially with the symmetry, and less with thr scars.
Between july 2000 and may 2002, 31 patients with breast asymmetry, were selected to evaluate our operative techniques for these deformity. Breast asymmetry was asessed by linear measurementes and by subjective evaluation. The surgical procedure performed depends on the deformity type and patient wishes, reduction mammaplasty was done in patients with hyperplasia and silicone gel implants in those with hypoplasia. Objetive measurements have been correlated with a subjective evaluation of symmetry to elucidate the goals of successful treatment. Patients evaluated the size, shape, symmetry, sensitivity of the breasts and the scars, after 6 months. The linear measurements were excelent in 23 patients, the areolar diameter and location were also excelent in 26 patients. Everyone were satisfied, specially with the symmetry, and less with thr scars.
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Citação
SILVA, Ana Lúcia Alves Lemos. Tratamento cirúrgico da assimetria mamária. 2003. 106 f. Dissertação (Mestrado) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2003.