REDUKTSION MAMMAPLASTIKA AMALIYOTIDA SUT BEZLARINING QON BILAN TA’MINLANISHINI ULTRATOVUSH DUPLEKS SKANERLASH ORQALI O‘RGANISH

##article.authors##

  • MADAZIMOV Madamin Muminovich
  • TURAYEV Fayruz Faxtullayevich
  • KIZYUN Yana Viktorovna
  • PUSTOVETOVA Mariya Gennadyevna
  • AKRAMOVA Nozima Akramovna
  • KIYAMOV Azizbek Utkirovich

##article.subject##:

sut bezlari gipertrofiyasi, reduktsion mammaplastika, ko’krak uchi-areola kompleksi, ultratovush dupleks tekshiruvi, perfuziya, jarrohlik xavfsizligi

##article.abstract##

Sut bezi hajmining oshishi — gipertrofiyasi — patologik jarayonlarsiz sut bezi to‘qimasi xajmining ortishi bilan kechadi va ko‘pincha reduktsion mammaplastikani talab qiladi. Jarrohlik amaliyotining xavfsiz o’tishi ko’krak uchi-areola kompleksining qon bilan ta’minlanishini saqlashga bog‘liq. Mazkur tadqiqotda sut bezi gipertrofiyasi mavjud 50 nafar bemorlar jarrohlik amaliyotidan oldin ko’krak uchi-areola kompleksining qon bilan ta’minlanishini baholash uchun ultratovush dupleks skanerlash tekshiruvidan o’tkazildi. Qon tomir arxitekturasi bir xil emasligi, bezlar orasida assimetriya mavjudligi hamda eng barqaror zona sifatida medial qon tomiri oyoqchasi zonasi ekanligi aniqlandi. Ushbu usulning qo‘llanilishi ko’krak uchi-areola kompleksida nekroz xavfini 1% gacha kamayishiga, dermoglandulyar oyoqchani individual tanlashga va reduktsion mammaplastika jarayonini xavfsiz o‘tkazishga imkon yaratdi.

Библиографические ссылки

Pérez-Panzano E., Güemes-Sánchez A., Gascón-Catalán A. Quality of Life Following Symptomatic Macromastia Surgery: Short- and Long-term Evaluation. Breast J. 2016;22(4):397-406. https://doi.org/10.1111/tbj.12589

Stirling A.D., Murray C.P., Lee M.A. The arterial supply of the nipple‐areola complex (NAC) and its relations: an analysis of angiographic CT imaging for breast pedicle design. Surg Radiol Anat. 2017;39:1127-1134. https://doi.org/10.1007/s00276-017-1870-1

Hosny H., El-Essawy M., Mansour M. Duplex Study of the Nipple–Areola Complex Blood Supply in the Female Breast. Aesth Surg J Open Forum. 2024;7: ojae090. https://doi.org/10.1093/asjof/ojae090

Zheng X., et al. Hypertrophic breasts versus normal-sized breasts: Comparison of blood supply to the nipple-areola complex based on DCE-MRI. Br J Plast Surg. 2022; (date) 100:??-??. https://doi.org/10.1016/j.bjps.2022.36527900

Yousef Zakhary N., Mubarak A.A., Elkhadrawy O.H., Ismail E.M. Multislice CT angiography as a roadmap for pedicle selection prior to breast reduction surgery. Egypt J Radiol Nucl Med. 2022;53:208. https://doi.org/10.1186/s43055-022-00893-y

Kalliainen L.K.; ASPS Health Policy Committee. ASPS clinical practice guideline summary on reduction mammaplasty. Plast Reconstr Surg. 2012;130(4):785-789. https://doi.org/10.1097/PRS.0b013e318262f0c0

Zheng H., Su Y., Zheng M. et al. Computed Tomographic Angiography-Based Characterization of Source Blood Vessels for Nipple-Areola Complex Perfusion in Hypertrophic Breasts. Aesth Plast Surg. 2017;41:524-530. https://doi.org/10.1007/s00266-017-0791-5

Moran S.L., Nava G., Behnam A.B., Serletti J.M. Clinical outcome, quality of life, patients’ satisfaction, and aesthetic results, after reduction mammaplasty. Plast Reconstr Surg. 2003;111(6):1876-1882. https://doi.org/10.1097/01.PRS.0000056872.06003.7E

Seitz I.A., Nixon A.T., Friedewald S.M. et al. “NACsomes”: A new classification system of the blood supply to the nipple areola complex (NAC) based on diagnostic breast MRI exams. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2015;68:792-799. https://doi.org/10.1016/j.bjps.2015.02.027

Namık Kemal Med J. Çeber M., Yıldız T., Eren E., Malak A. The Effects of Reduction Mammaplasty on Body Perception, Quality of Life and Depression in Women with Symptomatic Macromastia. Namık Kemal Med J. 2016;4(1):17-28.

Karger Publishers. Is Reduction Mammoplasty Cost-Effective? A Cost-Utility Analysis of Surgical Treatment for Macromastia in Germany. Breast Care. 2016;16(6):614. https://doi.org/10.1159/000452027

Bratislava Medical Journal. Surgical Factors Influencing Quality of Life After Reduction Mammaplasty in Patients with Breast Hypertrophy. Bratisl Med J. 2025;126(3):??-??. https://doi.org/10.1007/s44411-025-00033-8

Загрузки

##submissions.published##

2026-04-26