Evaluation of Feasibility and Aesthetic Outcomes of Benelli Technique for Nipple Sparing Mastectomy in Surgical Treatment of Grade 3 and 4 Gynecomastia
NCT ID: NCT06473064
Last Updated: 2024-06-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
NA
30 participants
INTERVENTIONAL
2023-05-19
2025-10-19
Brief Summary
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* In spite of the variety of methods and tools such as (liposuction and circumareolar inframammary inscion ) used in gynecomastia surgery, in gynecomastia the results are satisfactory in grades 1 and 2 while grades 3 and 4 gynecomastia present a surgical challenge.
* As some postoperative frustrating problems still cannot be completely eliminated, the most common of these are a saucer-like deformity (over resection under areola), bleeding, followed by seroma, infection, ischemic necrosis of nipple areola complex residual gynecomastia (under resection), persistence of inframammary fold, contour irregularities, and asymmetries between breasts.
* the objective, in this research, is to demonstrate the The role of Benelli technique in removal of gynecomastia grade 3 and grade 4 in clinical and cosmetic outcomes
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
* Around the initial circle, a second circle (external) was drawn 1 cm broader than the boundary.
* The skin was resected, with deepithelialization between the two circles.
* A transdermal incision was made through the border of the external circle.
* The breast tissue around the pedicle was lifted over the pectoral fascia and excised by preserving the NAC and the underlying breast pedicle
-The base of the mammary pedicle under the NAC was infixed at the farthest end of the mastectomy area by using 3/0 absorbable multifilament suture material
* Hence, the space formed after mastectomy was filled with a breast pedicle located posterior to the NAC.
* The closure of the circular deepithelialized area around the NAC with a diameter of 1 cm accomplished by using 4/0 absorbable monofilament suture material and the surgery was completed
TREATMENT
NONE
Study Groups
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grade 3 and 4 gynecomastia
To evaluate and determine the posibility of complication of benelli technique for nipple sparing mastectomy in surgical treatment of grade 3and 4 gynecomastia and its cosmetic effect
Benelli technique for nipple sparing mastectomy in surgical treatment of grade 3 and 4 gynecomastia
.The Nipple areola complex (NAC )margins on both sides are marked as circular. -Around the initial circle, a second circle (external) was drawn 1 cm broader than the boundary.
* The skin was resected, with deepithelialization between the two circles.
* A transdermal incision was made through the border of the external circle.
-. The breast tissue around the pedicle was lifted over the pectoral fascia and excised by preserving the NAC and the underlying breast pedicle
* The base of the mammary pedicle under the NAC was infixed at the farthest end of the mastectomy area by using 3/0 absorbable multifilament suture material
* Hence, the space formed after mastectomy was filled with a breast pedicle located posterior to the NAC.
* The closure of the circular deepithelialized area around the NAC with a diameter of 1 cm accomplished by using 4/0 absorbable monofilament suture material and the surgery was completed
Interventions
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Benelli technique for nipple sparing mastectomy in surgical treatment of grade 3 and 4 gynecomastia
.The Nipple areola complex (NAC )margins on both sides are marked as circular. -Around the initial circle, a second circle (external) was drawn 1 cm broader than the boundary.
* The skin was resected, with deepithelialization between the two circles.
* A transdermal incision was made through the border of the external circle.
-. The breast tissue around the pedicle was lifted over the pectoral fascia and excised by preserving the NAC and the underlying breast pedicle
* The base of the mammary pedicle under the NAC was infixed at the farthest end of the mastectomy area by using 3/0 absorbable multifilament suture material
* Hence, the space formed after mastectomy was filled with a breast pedicle located posterior to the NAC.
* The closure of the circular deepithelialized area around the NAC with a diameter of 1 cm accomplished by using 4/0 absorbable monofilament suture material and the surgery was completed
Eligibility Criteria
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Inclusion Criteria
* pseudo gynecomastia following massive weight loss with excess skin and laxity
Exclusion Criteria
* hyperthyroidism
* Malignant mass
* Diabetics
* smokers
* patients with medical treatment as anabolic steroids .
18 Years
75 Years
MALE
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Ezzat Essam Ezzat Osman
resident at general surgery department
Locations
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Assiut University Hospital
Asyut, , Egypt
Countries
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References
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Benelli L. A new periareolar mammaplasty: the "round block" technique. Aesthetic Plast Surg. 1990 Spring;14(2):93-100. doi: 10.1007/BF01578332.
Tarallo M, Di Taranto G, Fallico N, Ribuffo D. The round-the-clock technique for correction of gynecomastia. Arch Plast Surg. 2019 May;46(3):221-227. doi: 10.5999/aps.2018.00472. Epub 2019 May 15.
Colombo-Benkmann M, Buse B, Stern J, Herfarth C. Indications for and results of surgical therapy for male gynecomastia. Am J Surg. 1999 Jul;178(1):60-3. doi: 10.1016/s0002-9610(99)00108-7.
Letterman G, Schurter M. Suggested nomenclature for aesthetic and reconstructive surgery of the breast. Part III: Gynecomastia. Aesthetic Plast Surg. 1986;10(1):55-7. doi: 10.1007/BF01575270. No abstract available.
Other Identifiers
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Benelli technique gynecomastia
Identifier Type: -
Identifier Source: org_study_id
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