<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932024000100023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Masculinización torácica aplicada al tratamiento de la ginecomastia grave]]></article-title>
<article-title xml:lang="en"><![CDATA[Thoracic Masculinization Applied to Treating Serious Gynecomastia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamayo Carbón]]></surname>
<given-names><![CDATA[Alicia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuastumal Figueroa]]></surname>
<given-names><![CDATA[Diana Katherine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rincón]]></surname>
<given-names><![CDATA[Diego Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Docente Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>63</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932024000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932024000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932024000100023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La ginecomastia constituye un problema de salud. Su tratamiento se centra en eliminar el tejido mamario por métodos quirúrgicos, los que se basan, en su mayoría, en la mastectomía aislada sin considerar al resto de rasgos que feminizan al paciente.  Objetivo:  Evaluar el tratamiento quirúrgico de la ginecomastia grave y sus resultados según los principios de masculinización torácica en el transgénero.  Métodos:  Se realizó un estudio descriptivo, longitudinal y prospectivo en el servicio de cirugía plástica del Hospital Clínico Quirúrgico Hermanos Ameijeiras entre junio de 2020 a junio de 2023. El universo coincidió con la muestra de 12 hombres con diagnóstico de ginecomastia grave intervenidos quirúrgicamente mediante la técnica de masculinización con injerto del complejo areola pezón.  Resultados: La media de la edad resultó ser de 26,6 años. El 58,3 % presentó sobrepeso y su etiología más frecuente el antecedente de obesidad (50 %) la hiperprolactinemia y el consumo de marihuana (16,7 % cada uno), así como alteraciones genéticas y síndrome de Klinefelter (8,3 %). Predominó la presentación bilateral (91,7 %). No hubo complicaciones (75 %), pero sí cicatriz inestética (16,7 %) y necrosis parcial del injerto (8,3 %). El 100 % de los operados quedó satisfecho por lo que sus resultados fueron evaluados como buenos.  Conclusiones:  Las técnicas de masculinización torácica aplicadas a procedimientos en el transgénero de mujer a hombre ofrecen buenos resultados en el tratamiento quirúrgico de la ginecomastia grave, al proporcionar como ventaja la mastectomía unida al rescate un tórax de aspecto varonil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Gynecomastia is a health problem. Its treatment is centered on eliminating breast tissue by surgical methods, mostly based on isolated mastectomy without considering the rest of the features that feminize the patient.  Objective:  To assess the surgical treatment of severe gynecomastia and its outcomes according to the principles of thoracic masculinization in the transgender.  Methods:  A descriptive, longitudinal and prospective study was carried out in the plastic surgery service of Hospital Clínico Quirúrgico Hermanos Ameijeiras, between June 2020 and June 2023. The universe coincided with the sample of 12 men diagnosed with severe gynecomastia who underwent surgery using the technique of masculinization with grafting of the nipple-areola complex.  Results:  The mean age was 26,6 years. 58.3 % were overweight and the most frequent etiology was a history of obesity (50 %), hyperprolactinemia and marijuana consumption (16.7 % each), as well as genetic alterations and Klinefelter's syndrome (8.3 %). Bilateral presentation predominated (91.7 %). There were no complications (75 %), but there was unaesthetic scarring (16.7 %) and partial necrosis of the graft (8.3 %). The 100 % of those operated on were satisfied, so them outcomes were assessed as good.  Conclusions:  Thoracic masculinization techniques applied to female-to-male transgender procedures offer good outcomes in the surgical treatment of severe gynecomastia, since it provides the advantage of mastectomy together with the rescue of a manly-looking thorax.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ginecomastia]]></kwd>
<kwd lng="es"><![CDATA[masculinización torácica]]></kwd>
<kwd lng="es"><![CDATA[mastectomía]]></kwd>
<kwd lng="es"><![CDATA[injerto complejo areola pezón]]></kwd>
<kwd lng="en"><![CDATA[gynecomastia]]></kwd>
<kwd lng="en"><![CDATA[thoracic masculinization]]></kwd>
<kwd lng="en"><![CDATA[mastectomy]]></kwd>
<kwd lng="en"><![CDATA[nipple-areola- complex graft]]></kwd>
</kwd-group>
</article-meta>
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