Yavuz Metin, Kesiktas Erol, Kesiktas Naile Nüket, Acartürk Sabri
Department of Plastic, Reconstructive and Aesthetic Surgery, Adana, Turkey.
Ann Plast Surg. 2006 Oct;57(4):370-3. doi: 10.1097/01.sap.0000222567.04635.3b.
Gynecomastia is an excessive development of the male breast. Surgery is the accepted standard method for treatment. In our department, 5 male patients ranging in age from 18 to 24 years who had grade I-IIA-IIB gynecomastia according to Simon's classification were operated on with a lighted retractor-assisted transaxillary approach. Dissection, excision, and hemostasis were performed under direct vision by using the lighted retractor. The glands and adjacent fat were removed en bloc. The axillary scar was barely visible. The patients were satisfied with the results. Gynecomastia correction with a lighted retractor-assisted transaxillary approach is feasible for those who have grade I-IIA-IIB gynecomastia according to Simon's classification and also for those who do not want to have scars on their breasts' esthetic units and have a tendency towards keloid formation. Scars can be kept in the hidden area, with no considerable complication. The lighted retractor facilitates the transaxillary approach and provides appropriate dissection, excision, and hemostasis.
男性乳房肥大是男性乳腺的过度发育。手术是公认的标准治疗方法。在我们科室，对5例年龄在18至24岁之间、根据西蒙分类法为I-IIA-IIB级男性乳房肥大的患者采用带照明牵开器辅助的经腋窝入路进行手术。在直视下使用带照明牵开器进行解剖、切除和止血。腺体和相邻脂肪整块切除。腋窝瘢痕几乎不可见。患者对结果满意。对于根据西蒙分类法为I-IIA-IIB级男性乳房肥大的患者，以及那些不想在乳房美学单位留下瘢痕且有瘢痕疙瘩形成倾向的患者，采用带照明牵开器辅助的经腋窝入路矫正男性乳房肥大是可行的。瘢痕可保留在隐蔽区域，无明显并发症。带照明牵开器便于经腋窝入路，并能进行适当的解剖、切除和止血。
