Treatment for Gynaecomastia in Men. Experience with the Inferior Periareolar Incision in a Single Third Level Medical Facility
Álvaro Montiel-Jarquín *
Division of Health Investigation, Medical Unit High Speciality, Hospital of Traumatology and Orthopedics of Puebla, Mexican Institute of Social Security, Mexico
Ángel Espitia-Ayala
Division of Health Investigation, Medical Unit High Speciality, Hospital of Traumatology and Orthopedics of Puebla, Mexican Institute of Social Security, Mexico and Faculty of Medicine, Popular Autonomous University of Puebla, Mexico.
Mario García-Carrasco
Systemic Autoimmnune Disease Unit, CIBIOR-HGR36, Mexican Institute of Social Security, Mexico.
Claudia Mendoza-Pinto
Systemic Autoimmnune Disease Unit, CIBIOR-HGR36, Mexican Institute of Social Security, Mexico.
Rodolfo G. Barragán-Hervella
Division of Health Investigation, Medical Unit High Speciality, Hospital of Traumatology and Orthopedics of Puebla, Mexican Institute of Social Security, Mexico.
Arturo Árcega-Domínguez
Systemic Autoimmnune Disease Unit, CIBIOR-HGR36, Mexican Institute of Social Security, Mexico.
Arturo García-Galicia
Systemic Autoimmnune Disease Unit, CIBIOR-HGR36, Mexican Institute of Social Security, Mexico.
Eugenio García-Cano
Division of Health Investigation, Medical Unit High Speciality, Hospital of Traumatology and Orthopedics of Puebla, Mexican Institute of Social Security, Mexico and Faculty of Medicine, Popular Autonomous University of Puebla, Mexico.
*Author to whom correspondence should be addressed.
Abstract
Background: Gynaecomastia is defined as an enlargement of the mammary gland in men.
Objective: To evaluate Aesthetic Results of Subdermal Mastectomy by means of Inferior Periareolar Incision.
Materials and Methods: Descriptive, cross sectional and prospective study. We evaluate aesthetic results of Subdermal Mastectomy by means of Inferior Periareolar Incision using Analog visual Scale applied by an another Surgeon) and a Questionnaire (Auto Evaluation). Variables: Age, Clinical Symptoms, Evolution time, Complications and Aesthetic Results. Descriptive and Inferencial Statistic was used (Wilcoxon test).
Results: Twelve patients, median age 27.5 (18-58) year-old. Nine (75%) patients presented pain, 4 (33.3%) bilateral gynaecomastia, 4 (33.3%) left and 4 (33.3%) right sided gynaecomastia. According to Simon Classification, 3 (25%) patients grade I; 2 (16.6%) IIa; 2 (16.6%) IIb and 5 (41.6%) III. No patient presented concomitant disease, 12 (100%) had normal secondary sexual characteristics. Six (50%) had hyperesthesia. The Aesthetic Evaluation made by a distinct Surgeon was as it follows, 10 (83.3%) had a ≤ 6 punctuation and 2 (16.6%) had ≥ seven (0 - 10, Analogue Visual Scale). Ranks for Aesthetic Aspect Evaluation made by the patients, before and after surgery were 2.54 (average after surgery) and 0.00 (average before surgery), Z -1.857, p=0.0063 (p<0.05, Wilcoxon).
Conclusion: Subdermal Mastectomy should be in lower case by Inferior Periareolar Incision, it does not present severe complications however aesthetic results are undesirable.
Keywords: Results, periareolar incision, mastectomy, gynaecomastia