Orange Peel Excision of Gland

Shirol, S. S.

doi:10.1097/sap.0000000000000717

Cited by 12 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 8 , 17 , 19 , 23 , 24 , 26 Revision rate was specifically reported by 8 authors and ranged from 0% to 14.1%. 8 , 9 , 19 , 20 , 23 , 26 , 29 , 31 Hematoma was the most often cited major complication occurring in 5.8% of cases, which is consistent with what has been previously stated in the literature (4.6%). 10 , 11 Seroma formation was the next most common complication occurred in 2.4% of cases (Table 4 ).…”

Section: Resultssupporting

confidence: 90%

“…The majority of authors specifically listed standard use of drain placement in all patients regardless of surgical technique, with the exception of Wyrick et al (who reported drain usage based on surgeon preference), Li et al (who did not utilize drain placement in patients with grade I gynecomastia who received SSPM ± liposuction), and Shirol, Khalil et al, Coskun et al, Sim et al, and Akhtar et al (who did not routinely utilize drain placement in any patients). 8 , 9 , 17 , 20 , 23 , 24 , 26 – 31 …”

Section: Resultsmentioning

confidence: 99%

“…Across all grades, SSPM alone or in combination with liposuction was the most commonly reported technique, described by 10 of the 17 articles included in this study. 9 , 17 – 19 , 22 – 24 , 26 , 29 , 31 The next most common surgical procedure was MSR, which was performed by 8 of the authors. 18 – 20 , 23 – 25 , 27 , 28 MSR was most frequently reported to be used in patients with Simon grades II–III gynecomastia, with the exception of Wyrick et al 28 performing this technique in some grade I patients.…”

Section: Resultsmentioning

confidence: 99%

“…SSPM was described using various techniques, including a traditional, larger, 2-cm infra-areolar incision for direct excision, or a small 6–8 mm infra-areolar or inferolateral quadrant incision for “pull through” or “orange peel” techniques for direct excision. 9 , 26 Both techniques include grasping of the breast tissue through a small incision with removal of the breast tissue from surrounding structures under direct visualization. VAM for treatment of gynecomastia used a 3-mm incision at the intersection between the mid-axillary and trans-areolar lines.…”

Section: Discussionmentioning

confidence: 99%

“… 6 Overall patient satisfaction following surgical correction has been reported as high as 84.5%–100%. 7 – 9 …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Surgical Management of Gynecomastia: A Comprehensive Review of the Literature

Holzmer

Lewis

Landau

et al. 2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary: Gynecomastia is a graded condition characterized by enlargement of the male breast that affects a significant proportion of the male population. A plethora of varying surgical approaches currently exists in the literature; thus this comprehensive review sought to analyze surgical practice patterns and trends as they pertain to gynecomastia grade and severity. The current literature was queried utilizing the PubMed and MEDLINE databases—based on predefined parameters and individual review, 17 studies were ultimately included. Key data points included gynecomastia grade, surgical intervention, rate of complication, including hematoma, seroma, infection, and necrosis, and drain use. Two-sample t test was utilized for further analysis. A total of 1112 patients underwent surgical treatment for gynecomastia. Skin-sparing mastectomy with or without liposuction was the most frequently used procedure followed by mastectomy with skin reduction. Major complication rates ranged from 0% to 33%, with hematoma formation being most common (5.8%) followed seroma (2.4%). There was a higher rate of hematoma/seroma formation among authors who routinely utilized drain placement (9.78% versus 8.36%; P = 0.0051); however, this is likely attributable to the large discrepancy in percentage of grade III patients found in each group (50.23% versus 4.36%; P = 0.0000). As a wide variety of surgical techniques exist for the treatment of gynecomastia, an individualized approach based upon gynecomastia grade and patient preference may assist the surgeon in providing optimal outcomes. This senior author’s preferred method for treatment of gynecomastia is illustrated in the included algorithm.

show abstract