TRATAMIENTO QUIRÚRGICO DE LA MAMA TUBEROSA EN EL HOSPITAL AMEIJEIRAS CUBA
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Rev Cient Cienc Méd
Abstract
Introducción: La mama tuberosa es una malformación de origen congénito cuyo tratamiento es quirúrgico y está indicado después de completado el desarrollo mamario. En Cuba, hasta donde hemos podido conocer, no se reportan estudios que hagan referencia al tratamiento quirúrgico de la mama tuberosa. Objetivo: Caracterizar desde el punto de vista clínico quirúrgico a las pacientes con mama tuberosa en el servicio de Cirugía Plástica del Hospital Clínico Quirúrgico Hermanos Ameijeiras. Método: Estudio prospectivo y longitudinal con 29 pacientes tratadas por mama tuberosa entre enero de 2016 a 2021. Resultados: Predominó el grado cuatro de mama tuberosa con 55%. En 89% la afección fue bilateral. Prevaleció la mastoplastia de aumento periareolar con implante de perfil medio en 89%, la mastoplastia de aumento periareolar en mama afectada y mastopexia en mama contralateral se realizó 11%. Los resultados estéticos fueron buenos en 93%. Según la Breast - Q el 100% quedo satisfecha. No presentó complicaciones el 86%, se presentó seroma tardío en 7%, cicatriz ensanchada en 4% y quiste de inclusión en 4%. Conclusiones: La mama tuberosa predominó en mujeres nulíparas de menos de 30 años de edad. El tratamiento siempre es quirúrgico y a pesar de que se han descrito múltiples técnicas los resultados son buenos y seguros con el empleo de implantes mamarios. Limitaciones del estudio: En la institución donde fue realizado el estudio no se cuenta con opción para elegir entre muchas posibilidades reconstructivas por ser pública con atención gratuita.
Introduction: Tuberous breast is a congenital malformation whose treatment is surgical and is indicated after breast development is complete. In Cuba, as far as we have been able to know, there are no reported studies that refer to the surgical treatment of tuberous breast. Objective: To characterize from the clinical-surgical point of view the patients with tuberous breast in the Plastic Surgery service of the Hermanos Ameijeiras Clinical Surgical Hospital. Method: Prospective and longitudinal study with 29 patients treated for tuberous breast between January 2016 and 2021. Results: Grade four tuberous breast predominated with 55%. In 89% the condition was bilateral. Periareolar augmentation mammoplasty with a medium profile implant prevailed in 89%, periareolar augmentation mammoplasty in the affected breast and mastopexy in the contralateral breast was performed in 11%. The aesthetic results were good in 93%. According to the Breast-Q, 100% of patients were satisfied. 86% had no complications, late seroma occurred in 7%, widened scar in 4% and inclusion cyst in 4%. Conclusions: Tuberous breast predominated in nulliparous women under 30 years of age. Treatment is always surgical and although multiple techniques have been described, the results are good and safe with the use of breast implants. Limitations of the study: In the institution where the study was carried out, there is no option to choose between many reconstructive possibilities because it is a public institution with free care.
Introduction: Tuberous breast is a congenital malformation whose treatment is surgical and is indicated after breast development is complete. In Cuba, as far as we have been able to know, there are no reported studies that refer to the surgical treatment of tuberous breast. Objective: To characterize from the clinical-surgical point of view the patients with tuberous breast in the Plastic Surgery service of the Hermanos Ameijeiras Clinical Surgical Hospital. Method: Prospective and longitudinal study with 29 patients treated for tuberous breast between January 2016 and 2021. Results: Grade four tuberous breast predominated with 55%. In 89% the condition was bilateral. Periareolar augmentation mammoplasty with a medium profile implant prevailed in 89%, periareolar augmentation mammoplasty in the affected breast and mastopexy in the contralateral breast was performed in 11%. The aesthetic results were good in 93%. According to the Breast-Q, 100% of patients were satisfied. 86% had no complications, late seroma occurred in 7%, widened scar in 4% and inclusion cyst in 4%. Conclusions: Tuberous breast predominated in nulliparous women under 30 years of age. Treatment is always surgical and although multiple techniques have been described, the results are good and safe with the use of breast implants. Limitations of the study: In the institution where the study was carried out, there is no option to choose between many reconstructive possibilities because it is a public institution with free care.
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Vol. 27, No. 2