Investigation of Thoracic Skeleton Asymmetry and its Effects on Breast Asymmetry

نویسندگان

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2 Professor of Plastic and Reconstructive Surgery, Iran University of Medical Sciences, Burn Research Center, Fatima Hospital, Tehran, Iran

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doi
چکیده

Introduction & Objective: Breast asymmetry and chest wall asymmetry are common but there is nocomprehensive classification and relative distribution in the research literature. This asymmetry can becaused by various issues such as diseases, abnormalities and complications of surgery. The aim of thisstudy was to investigate the chest wall asymmetry and its effects on breast asymmetry.Materials & Methods: In this cross-sectional study, which was performed retrospectively, therecords of patients applying for mammoplasty from 2013 to 2020 were reviewed. Preoperative frontalimaging is performed on these patients. The frontal photograph of the breast and chest was examinedbefore the operation. Distance between right nipple to midline of chest, distance between left nipple tomidline of chest, length of right midclavicular distance to right nipple and length of left midclaviculardistance to left nipple, right chest width, chest width Left breast, sternal notch distance to right nipple andsternal notch to left nipple distance were calculated by software and analyzed using chi-square test.Results: Based on the results obtained in measuring chest wall width and nipple to midline distance,256 cases (56.4%) and 283 cases (62.3%) of the left breasts were larger, respectively. In nipple to antaxillary line measurements, the frequency of people with a larger right was higher. In the chest wall widthvariable, only in the prosthesis group, there was a statistically significant difference between left and rightsize (P-value <0.05). There was a statistically significant difference between left and right size in nipple tomidline distance and nipple to ant axillary line variables (P -value <0.05); But in SNN variable, there wasno statistically significant difference between left and right size in any of the groups (P -value >0.05).Conclusions: Based on the results, the breast and chest wall asymmetry is common . Therefore,patients should be reminded that due to the difference in the width of the chest and breast on both sides andtheir asymmetry, this asymmetry will also exist after breast cosmetic surgery. This influences decisionmakingand planning to reduce this asymmetry using surgical and non-surgical methods.