Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia

Background: : Gynecomastia (GM) is the most common breast condition in males. The clinical evaluation and surgical management of different grades of Gynecomastia are described extensively throughout several previous literatures. Objectives: The objective of our present study is to assess the epidem...

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Main Authors: Ahmad AbdElhady Muhammad Ibrahim, Samia Mohammed Ahmed Saied, Mohammed Ahmed Omar, Ahmed Ali Abdelrahim Ali
Format: Article
Language:English
Published: South Valley University, Faculty of Medicine 2024-07-01
Series:SVU - International Journal of Medical Sciences
Subjects:
Online Access:https://svuijm.journals.ekb.eg/article_383906.html
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author Ahmad AbdElhady Muhammad Ibrahim
Samia Mohammed Ahmed Saied
Mohammed Ahmed Omar
Ahmed Ali Abdelrahim Ali
author_facet Ahmad AbdElhady Muhammad Ibrahim
Samia Mohammed Ahmed Saied
Mohammed Ahmed Omar
Ahmed Ali Abdelrahim Ali
author_sort Ahmad AbdElhady Muhammad Ibrahim
collection DOAJ
description Background: : Gynecomastia (GM) is the most common breast condition in males. The clinical evaluation and surgical management of different grades of Gynecomastia are described extensively throughout several previous literatures. Objectives: The objective of our present study is to assess the epidemiological, clinical presentation, and the preferred type of surgical intervention along with evaluation of aesthetic outcomes of each procedure. Patients and methods: This is a prospective descriptive case series study conducted on 30 patients who was presenting with different grades of true gynecomastia admitted to the Plastic Surgery department in Qena university hospital from the outpatient clinic and seeking surgical correction. Results: Fifty eight breasts were operated upon in 30 patients; two cases (6.67%) had unilateral Gynecomastia and 28 cases (93.33%) had bilateral lesion.Based on surgical intervention, periareolar excision was performed in ten cases, liposuction was performed in six cases, periareolar excision combined with liposuction was done in 4 cases. While, circumareolar excision combined with liposuction was performed in two cases and, circumareolar concentric mastopexy without liposuction was performed in four cases. Four cases of grade III gynecomastia were treated with free nipple grafts. Conclusion: Gynecomastia is a persistent growth of breast tissue in men and the most successful course of management is surgery. Liposuction and surgical resection and/or combined procedures are three main types for surgical alternatives.
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spelling doaj-art-ad4115517a724193a98e2d106b23b8372025-02-06T11:02:25ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022024-07-0172630642https://doi.org/10.21608/svuijm.2023.196849.1548Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of GynecomastiaAhmad AbdElhady Muhammad Ibrahim 0Samia Mohammed Ahmed Saied 1Mohammed Ahmed Omar 2Ahmed Ali Abdelrahim Ali 3Plastic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt.Plastic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt.General Surgery Department (HPB Surgery and Laparoendoscopy Division), Faculty of Medicine, South Valley University, Qena, Egypt.Plastic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt.Background: : Gynecomastia (GM) is the most common breast condition in males. The clinical evaluation and surgical management of different grades of Gynecomastia are described extensively throughout several previous literatures. Objectives: The objective of our present study is to assess the epidemiological, clinical presentation, and the preferred type of surgical intervention along with evaluation of aesthetic outcomes of each procedure. Patients and methods: This is a prospective descriptive case series study conducted on 30 patients who was presenting with different grades of true gynecomastia admitted to the Plastic Surgery department in Qena university hospital from the outpatient clinic and seeking surgical correction. Results: Fifty eight breasts were operated upon in 30 patients; two cases (6.67%) had unilateral Gynecomastia and 28 cases (93.33%) had bilateral lesion.Based on surgical intervention, periareolar excision was performed in ten cases, liposuction was performed in six cases, periareolar excision combined with liposuction was done in 4 cases. While, circumareolar excision combined with liposuction was performed in two cases and, circumareolar concentric mastopexy without liposuction was performed in four cases. Four cases of grade III gynecomastia were treated with free nipple grafts. Conclusion: Gynecomastia is a persistent growth of breast tissue in men and the most successful course of management is surgery. Liposuction and surgical resection and/or combined procedures are three main types for surgical alternatives.https://svuijm.journals.ekb.eg/article_383906.htmlmale breast gynecomastia liposuctionsurgical management
spellingShingle Ahmad AbdElhady Muhammad Ibrahim
Samia Mohammed Ahmed Saied
Mohammed Ahmed Omar
Ahmed Ali Abdelrahim Ali
Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia
SVU - International Journal of Medical Sciences
male breast gynecomastia liposuction
surgical management
title Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia
title_full Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia
title_fullStr Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia
title_full_unstemmed Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia
title_short Outcome Analysis of Clinical Evaluation and Surgical Management of Different Grades of Gynecomastia
title_sort outcome analysis of clinical evaluation and surgical management of different grades of gynecomastia
topic male breast gynecomastia liposuction
surgical management
url https://svuijm.journals.ekb.eg/article_383906.html
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