{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T04:08:02Z","timestamp":1744690082335,"version":"3.40.4"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Angeborene Fehlbildungen der weiblichen Brust stellen operativ eine besondere\n                        Herausforderung dar, die eine individuellen Therapie der jungen Patientinnen\n                        bedarf. In diesem Beitrag beschreiben wir einen operativen\n                        Behandlungsalgorithmus, der im Rahmen einer retrospektiven Studie in\n                        Hinblick auf die Komplikationsrate und anthropometrische Daten der Brust\n                        \u00fcber 7 Jahre evaluiert wurden.<\/jats:p><jats:p>Im Rahmen einer retrospektiven Kohortenstudie wurden 36 Patientinnen \u00fcber\n                        einen Zeitraum von 7\u00b13,2 Jahren nachuntersucht. Alle Patientinnen wurden\n                        nach dem vorgeschlagenen Therapiealgorithmus operiert. Zur Objektivierung\n                        der postoperativen Ergebnisse wurden die Patientinnen in einem Zeitraum bis\n                        zu 10 Jahre postoperativ nachuntersucht. Es wurden klinischen Daten wie\n                        Komplikationen, Baker-Grad, Ptose-Grad und anthropometrische Daten erhoben,\n                        3-D Aufnahmen der Brust angefertigt und ein validierte patientensubjektive\n                        Lebensqualit\u00e4tsuntersuchung (Breast-Q\u2122) erhoben.<\/jats:p><jats:p>Alloplastische-Augmentation zeigten eine signifikant h\u00f6here Komplikationsrate\n                        (42%) im Vergleich zur autologen Eigenfetttransplantation (7,69%). Es zeigt\n                        sich eine durchschnittliche Differenz des Areolendurchmessers im\n                        Seitenvergleich von 0,37\u2009cm bei autologer Rekonstruktion und 0,78\u2009cm bei\n                        alloplastischer Augmentation. Der errechnete Symmetrieindex ergab bei beiden\n                        Therapieverfahren 93% [1]. Alle objektiven Messverfahren zeigen einen\n                        langanhaltenden, symmetrischen, Therapieerfolg bei der Korrektur\n                        kongenitaler Fehlbildung. Die mittlere patientensubjektive\n                        Ergebniszufriedenheit (Breast-Q\u2122) lag langzeitlich betrachtet bei 74%.\n                        Patientinnen mit autologer Rekonstruktion ben\u00f6tigten im Durchschnitt 2,9\n                        Eingriffe, um das gew\u00fcnschte Ergebnis zu erzielen, verglichen mit 1,3\n                        Eingriffen bei der Alloplastischen Augmentation.<\/jats:p><jats:p>Der Therapiealgorithmus zeigte sich im Hinblick auf Komplikationsrate,\n                        Brustsymmetrie, Mamillen-Areolen-Komplex (MAK)-Symmetrie und\n                        Patientenzufriedenheit als valide und kann bei Patientinnen mit kongenitaler\n                        Fehlbildung der Brust in Betracht gezogen werden. Alloplastische\n                        Rekonstruktion sollte auf Grund der erh\u00f6hten Komplikationsrate kritisch\n                        diskutiert werden.<\/jats:p>","DOI":"10.1055\/a-2549-6795","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T23:14:27Z","timestamp":1743462867000},"page":"102-111","source":"Crossref","is-referenced-by-count":0,"title":["Tubul\u00e4re Brustdeformit\u00e4t \u2013 Vorstellung eines etablierten\n                    Therapie-Algorithmus und Ergebnisse einer retrospektiven Untersuchung \u00fcber 7\n                    Jahre"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0373-7468","authenticated-orcid":false,"given":"Sophia-Theresa","family":"Diesch","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, Hand- Und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Br\u00e9bant","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, Hand- Und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivien","family":"Noisser","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, Hand- Und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andree","family":"Faridi","sequence":"additional","affiliation":[{"name":"Senologie und zertifiziertes Brustzentrum, Rekonstruktive und\n                    Plastische-\u00c4sthetische Brustchirurgie, Universit\u00e4tsklinikum Bonn, Bonn,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Prantl","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, Hand- Und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/S0094-1298(20)30232-7","article-title":"The tuberous breast","volume":"3","author":"T D Rees","year":"1976","journal-title":"Clin Plast Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2040","DOI":"10.1097\/00006534-199912000-00014","article-title":"Breast base anomalies: treatment strategy for tuberous breasts, minor\n                    deformities, and asymmetry","volume":"104","author":"J L Grolleau","year":"1999","journal-title":"Plast Reconstr 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