Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases

Ertekin, Cengiz; ozturk, muhammed besir; Aksan, Tolga; Kalem, Ugur Kaan; TEZCAN, MUSTAFA

doi:10.18678/dtfd.681998

Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases

Muhammed Beşir ÖZTÜRK, (Göztepe Eğitim ve Araştırma Hastanesi Plastik Rekonstrüktif ve Estetik Cerrahi Bölümü, İstanbul, Türkiye)

Cengiz ERTEKİN, (Göztepe Eğitim ve Araştırma Hastanesi Plastik Rekonstrüktif ve Estetik Cerrahi Bölümü, İstanbul, Türkiye)

Tolga AKSAN, (Göztepe Eğitim ve Araştırma Hastanesi Plastik Rekonstrüktif ve Estetik Cerrahi Bölümü, İstanbul, Türkiye)

Uğur Kaan KALEM, (Göztepe Eğitim ve Araştırma Hastanesi Plastik Rekonstrüktif ve Estetik Cerrahi Bölümü, İstanbul, Türkiye)

Mustafa TEZCAN (Göztepe Eğitim ve Araştırma Hastanesi Plastik Rekonstrüktif ve Estetik Cerrahi Bölümü, İstanbul, Türkiye)

Düzce Tıp Fakültesi Dergisi

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Yıl: 2020 Cilt: 22 Sayı: 2 Sayfa Aralığı: 96 - 100 Metin Dili: İngilizce DOI: 10.18678/dtfd.681998 İndeks Tarihi: 15-12-2020

Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases

Öz:

Aim: Gynecomastia is a benign enlargement of the breast in males. Surgical treatment optionsinclude liposuction, glandular excision and the combination of liposuction and glandularexcision. In this study, it was aimed to evaluate 65 consecutive gynecomastia patients whowere operated using different techniques and to present the treatment approach, and results andcomplications related to surgical techniques.Material and Methods: Sixty five patients who underwent gynecomastia operation in ourclinic between June 2016 and January 2019 were included in this study. Demographic data,preoperative and postoperative photographs, clinical classification, perioperative details,postoperative results and complications were evaluated retrospectively.Results: Fifty five (84.6%) patients had bilateral gynecomastia and 10 (15.4%) patients hadunilateral gynecomastia. Of the 120 breasts operated, 91 (75.8%) were Grade II, 20 (16.7%)were Grade III and 9 (7.5%) were Grade I, according to the Simon classification. Twenty-eight(43.1%) patients underwent liposuction and glandular excision, 35 (53.8%) patients underwentliposuction alone, and two (3.1%) patients underwent glandular excision only. Skin excisionwas performed for two patients at the first operation. Only two patients, one for inadequatereduction and the other for skin excess, were demanded revision surgery.Conclusion: Surgical treatment options for gynecomastia patients can be determinedaccording to clinical evaluation of breast tissue and skin excess. In young patients with goodskin quality, skin excision can be left for a second session. Although there was no significantdifference between the methods used in this study, more complications were found with theexcisional technique.

Anahtar Kelime:

Jinekomasti Tedavisinde Cerrahi Tekniklerin Değerlendirilmesi: 65 Olgunun Analizi

Öz:

Amaç: Jinekomasti erkeklerde görülen iyi huylu meme büyümesidir. Cerrahi tedavi seçenekleri arasında liposakşın, glandüler eksizyon ve liposakşın ve glandüler eksizyon kombinasyonu yer almaktadır. Bu çalışmada farklı teknikler kullanılarak ameliyat edilen ardışık 65 jinekomasti hastasının değerlendirilmesi, tedavi yaklaşımının ve cerrahi tekniklerle ilgili sonuçların ve komplikasyonların sunulması amaçlanmıştır. Gereç ve Yöntemler: Bu çalışmaya Haziran 2016 ve Ocak 2019 arasında kliniğimizde jinekomasti ameliyatı yapılan 65 hasta dahil edildi. Demografik veriler, preoperatif ve postoperatif fotoğraflar, klinik sınıflandırma, perioperatif detaylar, postoperatif sonuçlar ve komplikasyonlar retrospektif olarak değerlendirildi. Bulgular: Elli beş (%84,6) hastada iki taraflı jinekomasti ve 10 hastada (%15,3) tek taraflı jinekomasti vardı. Simon sınıflamasına göre, ameliyat edilen toplam 120 memenin 91 (%75,8)’i Evre II, 20 (%16,7)’si Evre III ve 9 (%7,5)’u Evre I idi. Yirmi sekiz (%43,1) hastaya liposakşın ve glandüler eksizyon uygulandı, 35 (%53,8) hastaya sadece liposakşın yapıldı ve 2 (%3,1) hastaya sadece glandüler eksizyon uygulandı. İlk ameliyatta iki hastaya deri eksizyonu yapıldı. Biri yetersiz küçültme ve diğeri ciltte fazlalığı için olmak üzere sadece iki hasta revizyon cerrahisi talep etti. Sonuç: Jinekomasti hastalarında meme dokusunun klinik değerlendirilmesine ve cilt fazlalığı derecesine göre cerrahi tedavi seçeneği belirlenebilir. Genç hastalarda deri kalitesi iyi ise cilt fazlalığı olsa dahi cilt ekzisyonu ikinci bir seansa bırakılabilir. Bu çalışmada kullanılan yöntemler arasında anlamlı bir fark olmamasına rağmen, eksizyonel teknikte daha fazla sayıda komplikasyon görülmüştür.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ozturk m, Ertekin C, Aksan T, Kalem U, TEZCAN M (2020). Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. , 96 - 100. 10.18678/dtfd.681998
Chicago	ozturk muhammed besir,Ertekin Cengiz,Aksan Tolga,Kalem Ugur Kaan,TEZCAN MUSTAFA Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. (2020): 96 - 100. 10.18678/dtfd.681998
MLA	ozturk muhammed besir,Ertekin Cengiz,Aksan Tolga,Kalem Ugur Kaan,TEZCAN MUSTAFA Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. , 2020, ss.96 - 100. 10.18678/dtfd.681998
AMA	ozturk m,Ertekin C,Aksan T,Kalem U,TEZCAN M Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. . 2020; 96 - 100. 10.18678/dtfd.681998
Vancouver	ozturk m,Ertekin C,Aksan T,Kalem U,TEZCAN M Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. . 2020; 96 - 100. 10.18678/dtfd.681998
IEEE	ozturk m,Ertekin C,Aksan T,Kalem U,TEZCAN M "Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases." , ss.96 - 100, 2020. 10.18678/dtfd.681998
ISNAD	ozturk, muhammed besir vd. "Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases". (2020), 96-100. https://doi.org/10.18678/dtfd.681998

APA	ozturk m, Ertekin C, Aksan T, Kalem U, TEZCAN M (2020). Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. Düzce Tıp Fakültesi Dergisi, 22(2), 96 - 100. 10.18678/dtfd.681998
Chicago	ozturk muhammed besir,Ertekin Cengiz,Aksan Tolga,Kalem Ugur Kaan,TEZCAN MUSTAFA Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. Düzce Tıp Fakültesi Dergisi 22, no.2 (2020): 96 - 100. 10.18678/dtfd.681998
MLA	ozturk muhammed besir,Ertekin Cengiz,Aksan Tolga,Kalem Ugur Kaan,TEZCAN MUSTAFA Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. Düzce Tıp Fakültesi Dergisi, vol.22, no.2, 2020, ss.96 - 100. 10.18678/dtfd.681998
AMA	ozturk m,Ertekin C,Aksan T,Kalem U,TEZCAN M Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. Düzce Tıp Fakültesi Dergisi. 2020; 22(2): 96 - 100. 10.18678/dtfd.681998
Vancouver	ozturk m,Ertekin C,Aksan T,Kalem U,TEZCAN M Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases. Düzce Tıp Fakültesi Dergisi. 2020; 22(2): 96 - 100. 10.18678/dtfd.681998
IEEE	ozturk m,Ertekin C,Aksan T,Kalem U,TEZCAN M "Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases." Düzce Tıp Fakültesi Dergisi, 22, ss.96 - 100, 2020. 10.18678/dtfd.681998
ISNAD	ozturk, muhammed besir vd. "Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases". Düzce Tıp Fakültesi Dergisi 22/2 (2020), 96-100. https://doi.org/10.18678/dtfd.681998