Assuntos
Queimaduras/terapia , Infecções por Coronavirus/epidemiologia , Atenção à Saúde/organização & administração , Pneumonia Viral/epidemiologia , Betacoronavirus , COVID-19 , Teste para COVID-19 , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Gerenciamento Clínico , Procedimentos Cirúrgicos Eletivos , Emergências , Humanos , Malásia/epidemiologia , Salas Cirúrgicas/organização & administração , Pandemias , Pneumonia Viral/diagnóstico , Reação em Cadeia da Polimerase Via Transcriptase Reversa , SARS-CoV-2 , Procedimentos Cirúrgicos OperatóriosAssuntos
Queimaduras/tratamento farmacológico , Queimaduras/etiologia , Ácido Fusídico/uso terapêutico , Traumatismos da Mão/tratamento farmacológico , Traumatismos da Mão/etiologia , Monitorização Fisiológica/efeitos adversos , Oximetria/efeitos adversos , Feminino , Humanos , Lactente , Resultado do TratamentoRESUMO
Juvenile hypertrophy of the breast (JHB) is a rare and relentless disease affecting women in the peripubertal period. We present a 13-year-old girl with massive bilateral JHB, successfully treated with a breast reduction and free nipple graft technique. A total of 7300 grams of breast tissue had been removed, accounting for 14.9% of the patient's total body weight. Prophylactic hormonal therapy was not commenced. During the 5-year follow-up period, there was no recurrence and the patient remains satisfied with the aesthetic outcome. A recent meta-analysis study indicates that subcutaneous mastectomy is associated with reduced risk of recurrence, but it is more deforming and the aesthetic result is inferior to a reduction mammaplasty. In patients treated with the latter technique, some evidence exists suggesting that the use of a free nipple graft is associated with a less frequent risk of recurrence than a pedicle technique. This present case is unique as it demonstrates the clinical course of this patient at a considerably longer follow-up period than most reported studies. We adhered to the limited available evidence and highlight the long-term reliability of breast reduction with free nipple grafting as the first line surgical option in JHB, eliminating the need for repeated surgeries.