Evidence map›Paper›PMID 34611624›Full record

ArticleAesthetic surgery journal. Open forum2021

Analysis of Nipple-Areola Complex Localization Using Male Cadavers: Considerations for Gender-Affirming Surgery.

Amanda K Moorefield, Anna Stock, Zak Rose-Reneau, Pratima K Singh, Zubeen Azari, Barth W Wright, Virender Singhal

Open access · goldAbstract read
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Article in Aesthetic surgery journal. Open forum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Amanda K MoorefieldAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.ORCID https://orcid.org/0000-0001-6066-2311
Anna StockAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.
Zak Rose-ReneauAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.
Pratima K SinghAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.
Zubeen AzariAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.
Barth W WrightAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.
Virender SinghalAnatomy Department Chair, Division of Clinical Anatomy, Kansas City University, Kansas City, MO, USA.
Kansas City University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMasculinizing chest reconstruction is the most common gender-affirming surgery in transgender males. Despite the current literature's acknowledgment of the vital role that proper placement of the nipple-areola complex (NAC) plays in a masculine chest contour, there is still much debate regarding the best anatomical landmarks to achieve the desired result.

objectivesThe primary aim of this study is to determine which landmarks for NAC placement can be applied across diverse body types and aid surgeons in creating a masculine chest.

methodsTwenty-five formaldehyde-embalmed male cadavers were analyzed by conducting various measurements of the NAC, nipple, and surrounding bony and muscular landmarks to identify the most consistent landmarks for proper NAC placement. Linear regression analyses were run to determine how the distance between nipple to respective landmarks varied based on antemortem body mass index (BMI), height, weight, and age.

resultsThe measurements for the inferior and lateral borders of the pectoralis major muscle (PMM) displayed the least amount of variance of all the anatomical landmarks studied. Additionally, there was no significant change in these pectoral measurements with varying BMI, height, weight, or age, indicating that these measurements are reliable landmarks for NAC placement across various body types. The average NAC placement in relation to the inferior and lateral borders of PMM was around 2.5 and 2.0 cm, respectively.

conclusionsOur cadaveric analysis indicates that aesthetically pleasing masculine chest results can be produced consistently across varying body types when adhering to a simple pectoral approach in NAC placement.

Identifiers

PMID34611624
PMCPMC8486918
OpenAlexW3195745756

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.