Table 4.
Relevant chronologically listed publications regarding gigantomastia—Comparison of techniques/pedicles, results, complications and outcome parameters
| Authors (Year) | Technique/Pedicle | No. of breasts | Mean resection weight | Overall complications | Acute hematoma | Complete NAC loss | Secondary revisions | NAC sensibility | Aesthetic satisfaction |
|---|---|---|---|---|---|---|---|---|---|
| Nahabedian et al. [40] | ]Medial pedicle | 45 | right 1580 g, left 1627 g | 0% | 0% | 0% | 0% | 98% retained | 97% satisfied |
| Misirlioglu et al. [41] | Vertical with free NAC graft (two cases) | 2 | 1st case 4100 g, 2nd case 4100 g | 0% | 0% | 0% | 50%; 1 dog ear | NA | both satisfied |
| Lacerna et al. [42] | Inferior pedicle | 30 | range from 2000–4000 g | 6.7% | 0% | 0% | NA | NA | NA |
| Azzam et al. [10] | Vertical with superior pedicle | 53 >1000 g | right 807.9 g, left 822.4 g | 36% | 0% | 3.8% gland. necrosis | 24.5% scar and volume revision | NA | NA |
| Landau et al. [4] | Superomedial pedicle | 122 | right 1360 g, left 1398 g | 24.6% | 0% | 0% | 3.8% | NA | NA |
| Roehl et al. [43] | Inferior pedicle and free NAC graft | 170 >1000 g | NA | 50% | 4% | 1% | NA | NA | NA |
| Mojallal et al. [2] | Posterosuperior pedicle | 100 | 1231 g | 8% | 0% | 0% | 0% | NA | 74% “very good”, 18% “good” |
| Amini et al. [44] | Vertical with superomedial pedicle | 46 | right 1303 g, left 1245 g | 21.7% | 2.2% | 0% | 4.3%, 2 dog ears | 1 “hyposensibility” | 91% “very satisfied” |
| Lugo et al. [3] | Superomedial pedicle | 400 | right 1277 g, left 1283 g | 10. 5% | NA | 0% | NA | 98% reported NAC sensation | NA |
| Hammond et al. [32] | Short-Scar Periareolar Inferior pedicle | 140 | 1336 g | 37% | 0% | 0% | 5.7% | NA | NA |
| Karacor-Altuntas et al. [7] | Central pedicle without free nipple | 434 | right 1496 g, left 1417 g | 4.1% | 0% | 0% | NA | 100% good NAC sensation | NA |
| Karacaoglu et al. [8] | Septum-Inferior-Medial (SIM)-based pedicle | 52 | 1512 g | 8.3% | 0% | 0% | NA | intact in all cases | 81% very satisfied |
| Ulusal et al. [45] | Superior pedicle | 80 | 3066 ± 944 g | 6.25% | 1.3% | 2.5% | 17.5% | NA | Mean score 4,65 (0–5) |
| Kemaloǧlu et al. [9] | Inferior vs. Superomedial pedicle | 50 vs. 50 | right 1320 g, left 1350 g vs. right 1380 g, left 1310 g | 16% vs. 8% | 0% | 0% | NA | 4% decreased sensation vs. 4% decreased sensation | NA |
| Elmelegy et al. [46] | Medial-Lateral Bipedicle inverted T | 72 > 1000 g | 1433 g | 6.9% | NA | 1.3% | NA | 1 “hypo-sensibility” | NA |
| Wolter et al. [47] | Superomedial pedicle | 294 | right 1413, left 1366 g | 7.8% | 0.3% | 3.1% | 16% NAC, scar and contour revisions | 88% “very good” and “good” | 93% “very satisfied” and “satisfied” |
(NAC nipple-areola-complex, NA not available)