engleski

A new method of relocation of the male NAC

Purpose: The cause for bilateral loss is seldom congenital, and usually destruction from trauma, particularly burn injury. Quite a similar problem is the creation of the NAC in female-to-male transsexuals and after correction of extreme bilateral gynaecomastia. As there are only few reports on anatomical approaches to contour a male chest such as the precise localisation of NAC, a prospective study on this question was carried out. Material and methods: A total of 100 healthy men aged 20-36 years were examined. The study was concentrated on the precise localisation of the NAC on the thoracic cage in relation to various measurements such as weight, height of the body, circumference of the thorax, length of sternum, position in the intercostal space and all the various distances such as the distance between sternal notch and nipples and, between midline of sternum and nipples. Results: Circumference of the thorax and length of the sternum were calculated as the best predictors of the NAC location. To localize the nipple-areola complex on the thoracic wall de novo, at least two reproducible measurements proved to be necessary, composed of two lines, in this study, two radius. The upper radius has a stating point in sternal notch, while stating point of another radius is in processus xiphoideus. Intersection point of these two radius is the position of the nipple. For the maximal simplifing the work sheet in Microsoft Excel has been created. A precision of this method has been proved on a control group (n = 52). Conclusion: The appropriate localization of the NAC in male, in cases of bilateral absence, can be calculated by means of this method derived from the circumference of the thorax and the length of the sternum of the patient.

NAC location in male

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