Congenital Symmastia

Kraft, Casey T.; Chandawarkar, Rajiv Y.; Chetta, Matthew D.; Poteet, Stephen J.

doi:10.1097/sap.0000000000002606

Cited by 1 publication

(3 citation statements)

References 10 publications

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“…These findings are in line with some of the conclusions of this study and underscore the importance of further research with a larger sample size. 26…”

Section: Discussionmentioning

confidence: 99%

“…The implementation of compression in the presternal region for 30 to 60 days is crucial for reducing the risk of seroma formation and optimizing long-term outcomes. 10,26,27 It is important to emphasize the importance of patient compliance with follow-up and postoperative care, as this is essential for preserving the achieved results. In addition, it is stressed that the doctor-patient relationship is critical in the management of symmastia, as patients may have undergone multiple unsuccessful treatments previously.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are in line with some of the conclusions of this study and underscore the importance of further research with a larger sample size. 26 This study presents a novel, single-stage repair technique for symmastia that involves suturing the thin detached subcutaneous tissue to the sternal area, removal of any excess sternal skin (as needed), and ensuring tension alignment of the chest; this method has been applied to 100 patients by the same surgeon. In cases of complex and/or highly asymmetric breasts, supplementary fat grafting may be necessary.…”

Section: Ementioning

confidence: 99%

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Congenital and acquired symmastia: a novel correction technique

Aquino,

Felix,

Feitosa

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Symmastia, first defined by Spence in 1984, is a medical condition characterized by the convergence of breast tissues in the midline, resulting in the absence of adhesion between the skin and subcutaneous tissue over the presternal area. It can be either congenital or acquired. Currently, there is no universally accepted treatment for symmastia. This study presents a surgical approach, preoperative, and postoperative care for the correction of symmastia. Methods: Between January 2014 and December 2020, a surgical technique was performed on 100 patients, including 59 with congenital symmastia and 41 with acquired symmastia. The technique involved creating a thin skin flap and attaching it to the sternum to reconstruct the intermammary V-shaped region. Results: All patients in both groups underwent subglandular implant placement, with textured/polyurethane prostheses used in 97% of cases. Three cases did not use any implants. In the corrective surgery, patients received smaller, round implants, following the steps of the surgical approach devised by the author. The median satisfaction scores were high in both groups. Conclusion: The surgical approach described in this study is a safe, one-time procedure with a low risk of complications and high patient satisfaction. The technique is reproducible and provides consistent outcomes.

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“…These findings are in line with some of the conclusions of this study and underscore the importance of further research with a larger sample size. 26…”

Section: Discussionmentioning

confidence: 99%