Current state of surgical treatment for patients with tubular breast type II (a literature review)

• Main Authors: A. A. Kostenko, S. P. Galych, O. Yu. Dabizha, K. A. Samko, D. V. Borovyk
• Format: Article
• Language: English
• Published: Zaporozhye State Medical University 2021-02-01
• Series: Zaporožskij Medicinskij Žurnal
• Subjects: tubular breast; congenital breast abnormalities; breast surgery; breast reconstruction
• Online Access: http://zmj.zsmu.edu.ua/article/view/224962/225184

The aim of the study – to analyze the modern literature, summarize current approaches to surgical treatment of tubular breast type II and identify the causes of poor results. Tubular breast deformity relates to congenital connective tissue malformations, occurs in puberty and causes a great deal of psychological discomfort to women. The majority of authors note that type II of tubular breast is the most common among patients referred to clinic for a surgical correction. In fact, the correction of this type of malformation is a reconstructive procedure associated with a number of challenges. The goal of such operation is not only to increase a volume of the breast lower pole, but also to cover the implant maximally using soft tissues to achieve a normal lower pole contour. To date, a number of surgical techniques have been proposed to address these problems, such as C. Puckett and M. Concannon (1990), L. Ribeiro (1998), E. Muti (1996), A. Mandrekas (2003) and their modern modifications. Fat grafting techniques in treatment of tubular breast are also getting popular, but all have some drawbacks. Conclusions. A high level of complications and the absence of a universal method for correction of tubular breast type II are preconditions for improving the surgical technique to correct this pathology.