Papalia Igor, d'Alcontres Francesco Stagno, Colonna Michele Rosario, Mojallal Ali M, Foyatier Jean-Louis
Dipartimento delle Specialità Chirurgiche, Sezione di Chirurgia Plastica, Università di Messina, Italia.
Ann Ital Chir. 2007 Nov-Dec;78(6):503-6.
The superior pedicle mammaplasty is a technique frequently employed in the treatment of breast ptosis, associated or not with hypertrophy of the gland, followed by satisfactory results. This technique is normally not indicated in severe breast ptosis (pendulous breast) because of the excessive length of the pedicle supplying nipple-areola-complex (NAC), with the risk of ischemia. In these cases the standard technique is the free-nipple-graft mammaplasty. However, the deepen knowledge about vascular anatomy of the breast and the aptitude to perform superior pedicle mammaplasty, induced the authors to indicate this technique even in these cases improving the aesthetic and functional outcomes.
The authors present a series of 30 patient with pendulous breasts, with sternal notch-nipple distance equal or superior to 32 cm (45 cm maximum; mean value 35.1), treated with the superior pedicle mammaplasty with inverted "T" scar. The results confirm the reliability of superior pedicle for the nipple-areolar complex blood supply, associated with satisfactory aesthetic results due especially to the good breast projection.
They conclude that superior pedicle technique mammaplasty, even if normally not indicated in these cases, is instead suitable for the treatment of pendulous breasts with great sternal notch-nipple distance, permitting to take advantages of this technique.
上蒂乳房成形术是治疗乳房下垂（无论是否伴有腺体肥大）时常用的一种技术，术后效果令人满意。由于供应乳头乳晕复合体（NAC）的蒂过长，存在缺血风险，该技术通常不适用于重度乳房下垂（悬垂乳）。在这些情况下，标准技术是游离乳头移植乳房成形术。然而，对乳房血管解剖的深入了解以及实施上蒂乳房成形术的能力，促使作者指出即使在这些情况下，采用该技术也能改善美学和功能效果。
作者介绍了一系列30例悬垂乳患者，其胸骨切迹至乳头的距离等于或大于32cm（最大45cm；平均值35.1），采用带倒“T”形瘢痕的上蒂乳房成形术进行治疗。结果证实了上蒂对乳头乳晕复合体血供的可靠性，尤其由于良好的乳房突度，美学效果令人满意。
他们得出结论，上蒂技术乳房成形术，即使通常在这些情况下不适用，但对于胸骨切迹至乳头距离较大的悬垂乳治疗是合适的，能够利用该技术的优势。
