楔形真皮乳腺瓣法矫正重度乳头内陷

Correction of severe nipple inversion by using wedge-shaped corium and glandular tissue flaps

目的:探讨矫正女性重度乳头内陷的手术治疗新方法。方法:设计乳晕去表皮楔形真皮乳腺瓣,双侧楔形瓣翻转180°交叉重叠置于乳头基部,以支撑乳头和缩小乳头颈部直径。应用不可吸收的缝线分层严密缝合创口,消除新乳头可能回缩的空间,缩窄乳头颈部皮肤。结果:2002年7月～2008年12月采用该方法共治疗35例先天性或复发性重度乳头内陷的患者,全部病例术后伤口均愈合良好,无血肿、感染等并发症。术后随访3个月～3年,切口瘢痕不明显,乳头高度及外形满意,无复发。结论:楔形真皮乳腺瓣法是矫正重度乳头内陷和术后复发的一种较好手术治疗方法,对防止乳头内陷的术后复发有良好效果。

Objective To explore a new methodology for surgical treatment of severe inverted nipple in women. Methods Two opposite wedge-shaped corium and glandular tissue flaps on both sides of the inverted nipple were designed within the range of areola. The triangular skin was deepithelialized and two wedge-shaped corium and glandular tissue flaps were created. The wedge-shaped corium and glandular tissue flaps on both sides of the inverted nipple were reversed 180 degrees at the base to support the nipple and shorten the diameter of nipple neck. To eliminate the interspace that the new nipple could be retracted, the incision of glandular, tissue under skin and corium were sutured by using silk according to tissue layers. Results 35 cases of congenital or recurrent severe nipple inversion were performed the operation using this method during 2007.7 to 2008.12. There were no complications related to surgery such as hematoma, infection. Postoperative follow-up for 3 months -2 years showed that the appearance of the nipple was satisfactory. The nipple inversion was no recurrence and the incision scar was indistinct. Conclusion This is an ideal operation for correcting severe nipple inversion. It has reliable effect to prevent recurrence of the nipple inversion after operation.