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Updated: Jun 15, 2026
Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Craniomedial pedicled mammaplasty based on Würinger's horizontal septum
H Ryssel1, G Germann, R Reichenberger
1Department of Hand, Plastic and Reconstructive Surgery and Intensive Burn Care Unit, BG-Trauma Center Ludwigshafen, Ludwig Guttmann Strasse 13, Ludwigshafen, Germany. hryssel@bgu-ludwigshafen.de
Background:
During 30 months, 40 "septum-based" mammaplasties with a craniomedial pedicle were performed. This report aims to demonstrate the anatomic basics of the horizontal septum and the authors' experience with the septum-based mammaplasty technique.
Methods:
A series of 40 consecutive patients underwent a "septum-based" mammaplasty. This technique uses a medial pedicle based on Würinger;s horizontal septum, which is the main plain for the neural and vascular supply of the nipple-areolar complex (NAC).
Results:
The mean nipple-to-sternal-notch distance was 32 cm (range, 24-43 cm). The mean resection weight was 648 g (range, 484-1,320 g), and the mean nipple elevation was 9.5 cm (range, 5-18 cm). There were no hematomas and no partial or complete NAC necroses. Minimal wound dehiscence at the T-junction was present in three cases (7.5%). The pre- and postoperative NAC sensibilities were comparable in all the patients.
Conclusion:
Based on Würinger;s horizontal septum, a safe and well-vascularized mammaplasty is possible even with large resection weights and long nipple-areola distances, and NAC sensibility can be preserved. The reported technique combining excellent pedicle perfusion with a wide variety of breast shaping proved to be safe.
