Fogli A
Ann Chir Plast Esthet. 1990;35(6):459-69.
The prevention of spreading of the areolar nipple complex by means of the round block technique is the origin for this review of 48 cases. After the description of the pre-operative markings and the operative technique, the author gives full details about operative indications. The latter are in order: moderate ptosis with or without the need ty for a mammary implant, replacing a mammary implant with capsulectomy and recentering of the areola. Limitations appear in some cases when 11-12 centimeters of de-epithelialization in diameter are necessary. Advantages and drawbacks are discussed. The elimination of the usual thoracic scars appears to be a major and decisive advantage in the choice of this technique which, according to the author, will play an important part in the future.
采用环形阻滞技术预防乳晕乳头复合体扩散是本次48例病例回顾的起源。在描述了术前标记和手术技术后，作者详细介绍了手术指征。手术指征依次为：伴有或不伴有乳房植入物需求的中度乳房下垂、通过包膜切除术更换乳房植入物并重新定位乳晕。当直径需要11 - 12厘米的去上皮化时，某些情况下会出现局限性。讨论了该技术的优缺点。消除常见的胸部疤痕似乎是选择该技术的一个主要且决定性的优势，据作者称，该技术在未来将发挥重要作用。
