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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Kuhn, Shafreena (Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital Frankfurt) Keval, Seirah (Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital Frankfurt) Sader, Robert (Rhein-Main Working Group on Transsexualism and Transidentity) Kuenzlen, Lara (Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital Frankfurt) Kiehlmann, Marcus (Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital Frankfurt) Djedovic, Gabriel (Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital Frankfurt) Bozkurt, Ahmet (Department of Plastic Surgery, Helios Clinic Wuppertal) Rieger, Ulrich Michael (Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital Frankfurt)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제5호
발행연도
2019.1
수록면
433 - 440 (8page)

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Background Mastectomy in male transgender patients is an important (and often the first) step toward physical manhood. At our department, mastectomies in transgender patients have been performed for several decades. Methods Recorded data were collected and analyzed for all male transgender patients undergoing mastectomy over a period of 24 years at our department. Results In total, 268 gender-reassigning mastectomies were performed. Several different mastectomy techniques (areolar incision, n=172; sub-mammary incision, n=96) were used according to patients' habitus and breast features. Corresponding to algorithms presented in the current literature, certain breast qualities were matched with a particular mastectomy technique. Overall, small breasts with marginal ptosis and good skin elasticity allowed small areolar incisions as a method of access for glandular removal. In contrast, large breasts and those with heavy ptosis or poor skin elasticity often required larger incisions for breast amputation. The secondary correction rate (38%) was high for gender reassignment mastectomy, as is also reflected by data in the current literature. Secondary correction frequently involved revision of chest wall recontouring, suggesting inadequate removal of the mammary tissue, as well as scar revision, which may reflect intense traction during wound healing (36%). Secondary corrections were performed more often after using small areolar incision techniques (48%) than after using large sub-mammary incisions (21%). Conclusions Choosing the suitable mastectomy technique for each patient requires careful individual evaluation of breast features such as size, degree of ptosis, and skin elasticity in order to maximize patient satisfaction and minimize secondary revisions.
#Transgender #Mastectomy #Gender reassigning surgery

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참고문헌 (20)

참고문헌 신청
Ahmed OA / 2000 / Comparison of nipple and areolar sensation after breast reduction by free nipple graft and inferior pedicle techniques / Br J Plast Surg 53:126~129 google schola Cregten-Escobar P / 2012 / Subcutaneous mastectomy in female-to-male transsexuals : a retrospective cohort-analysis of 202 patients / J Sex Med 9:3148~3153 google schola Wolter A / 2015 / Sexual reassignment surgery in female-to-male transsexuals : an algorithm for subcutaneous mastectomy / J Plast Reconstr Aesthet Surg 68:184~191 google schola Monstrey S / 2008 / Chest-wall contouring surgery in female-to-male transsexuals : a new algorithm / Plast Reconstr Surg 121:849~859 google schola Kaariainen M / 2017 / Chest-wall contouring surgery in female-to-male transgender patients : a one-center retrospective analysis of applied surgical techniques and results / Scand J Surg 106:74~79 google schola

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