Foustanos Andreas, Zavrides Harris
Plastic Surgery Department, Iasso Hospital, Maroussi, Athens, Greece.
Aesthetic Plast Surg. 2006 May-Jun;30(3):294-300. doi: 10.1007/s00266-005-0180-3. Epub 2006 May 22.
Tuberous breast deformity is a rare entity affecting young women bilaterally or unilaterally. It requires surgical correction, depending on the severity of the clinical expression, because of its aesthetic appearance. Since the presentation of the malformation by Rees and Aston in 1976, many surgical procedures have been developed, but the deformity still is one of the most challenging congenital breast anomalies.
Between September 1999 and September 2005, eight patients with tuberous breast deformity underwent surgery in our department. A two-stage approach was used to manage 14 tuberous breasts. We used a combination of anatomic textured tissue expanders with magnetic injection sites and silicone gel implants. Other reconstructive procedures such as mastopexy, breast reduction, and areolar reduction can be considered.
Our long-term results, with a maximum follow-up of 6 years, were satisfying. They have been uniformly good and compare favorably with those presented in the literature when the use of other methods.
This two-stage approach is a relatively simple, safe, and technically easy procedure that is easy to learn. The results achieved with this approach seem to be reliable and gratifying.
管状乳房畸形是一种罕见的病症，可双侧或单侧影响年轻女性。由于其美观问题，根据临床表现的严重程度需要进行手术矫正。自1976年里斯和阿斯顿提出这种畸形以来，已经开发了许多手术方法，但这种畸形仍然是最具挑战性的先天性乳房异常之一。
1999年9月至2005年9月，我科对8例管状乳房畸形患者进行了手术。采用两阶段方法处理14个管状乳房。我们使用了解剖型带纹理组织扩张器与磁性注射部位以及硅胶植入物相结合的方法。也可考虑其他重建手术，如乳房上提术、乳房缩小术和乳晕缩小术。
我们的长期结果令人满意，最长随访6年。结果一直良好，与使用其他方法时文献中报道的结果相比更具优势。
这种两阶段方法是一种相对简单、安全且技术上易于操作的程序，易于学习。用这种方法取得的结果似乎可靠且令人满意。
