Tinnemans J G, van Lanschot J J
Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Chirurgie, Postbus 22.660, 1100 DD Amsterdam.
Ned Tijdschr Geneeskd. 2004 Feb 28;148(9):405-8.
Three female patients, 39, 39 and 46 years old, had recurrent, non-puerperal, subareolar abscesses caused by obstructed and dilated lactiferous ducts and resulting in paramamillary fistulas. Further recurrence was stopped by surgery. Based on the pathogenesis, surgery is the recommended treatment for this chronic ailment, i.e. fistulectomy using a radial incision through the centre of the nipple and excising the pathological nipple-areolar complex. Only the nipple is reconstructed, leaving the remainder of the wound open for healing by secondary intention and thus preventing recurrence.
三名女性患者，年龄分别为39岁、39岁和46岁，患有因乳腺导管阻塞和扩张引起的复发性、非产褥期乳晕下脓肿，并导致乳头旁瘘管。手术阻止了进一步复发。基于发病机制，手术是这种慢性疾病的推荐治疗方法，即通过乳头中心做放射状切口进行瘘管切除术，并切除病理性乳头乳晕复合体。仅重建乳头，其余伤口敞开，通过二期愈合实现愈合，从而防止复发。
