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The purpose of this study is to evaluate the feasibility and sensitivity of nipple-areolar complex (NAC) prospectively due to the section of the dermis after decortication (Schwartzmann's maneuver), in 50 patients undergoing breast reduction surgery.
Preservation of the dermis after decortication regions of the areola and periareolar is considered relevant by most plastic surgeons.
In patients whose CAP should be mobilized through large distances in order to correct breast ptosis, or in cases of dense breasts where noted little slip of skin over the breast parenchyma, the periareolar dermis causes limitation on the mobility of the NAC.
In clinical practice, there is a greater mobilization of NAC when making a careful section of the dermis after decortication. In contrast, the appearance of partial necrosis in these cases has become a rarity, as no case of total necrosis was observed.
Given the technical benefit observed due to greater mobilization, there is no report in the literature about how behaves the sensitivity of the NAC in these cases.
To evaluate the sensitivity of the NAC will be used Semmes-Weisnstein's monofilament. Each point will be obtained five measurements. The largest will be scorned and the lowest value. The final value of each point corresponds to an arithmetic mean of the three remaining values.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Section of Periareolar Dermis | Experimental | Section of Periareolar Dermis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Section of Periareolar Dermis in Breast Reduction. | Procedure |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Nipple-Areola Complex (NAC) Sensitivity | To evaluate the sensitivity of the NAC in breast reduction | 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Nipple-Areola Complex (NAC) sensitivity | To evaluate the sensitivity of the NAC in breast reduction | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Nipple-Areola Complex sensitivity | To evaluate the sensitivity of the NAC in breast reduction | 12 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jairo Z Sá, surgeon | Contact | 81 34675717 | +55 | jairozacche@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Jairo Z Sá, surgeon | Hospital das Clínicas da Universidade Federal de Pernambuco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital das clínicas da UFPE | Recife | Pernambuco | 50670-607 | Brazil |
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| ID | Term |
|---|---|
| D006967 | Hypersensitivity |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D012680 | Sensitivity and Specificity |
| D002541 | Cerebral Decortication |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D013223 | Statistics as Topic |
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| D055641 | Mathematical Concepts |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D019635 | Neurosurgical Procedures |
| D013514 | Surgical Procedures, Operative |