Zoumaras Jack, Lawrence Julie
Aesthet Surg J. 2008 Sep-Oct;28(5):521-6; discussion 526-7. doi: 10.1016/j.asj.2008.07.003.
Breast reduction is one of the most commonly performed plastic surgery procedures. Many approaches to breast reduction have been described, including inverted-T and vertical scar techniques and various types of dermoglandular pedicle for the nipple.
This study compares the outcomes of patients undergoing vertical scar medial pedicle versus inferior pedicle inverted-T scar breast reduction by a single surgeon.
Ninety-five consecutive patients who had undergone inverted-T scar breast reduction between January 2002 and July 2005 were compared with 96 consecutive patients undergoing vertical scar breast reduction between September 2005 and August 2007. Patient age, body mass index (BMI), resection weight, complications, and surgical revision rates were compared.
Mean age, BMI, and resection weight were comparable in both groups. The rates of major complications of both groups were equal (24%). There was a higher hematoma rate in the vertical series (8 vs 3; P < .05). The inverted-T series was complicated by more wound dehiscence (37 vs 11; P < .05), surgical site infections (16 vs 8; P < .05), and involved a longer operative time (102 minutes vs 83 minutes; P < .05). There was a higher scar revision rate in the inverted-T series (11 vs 32; P < .05).
Vertical scar breast reduction is associated with a major complication profile similar to that for inverted-T scar breast reduction with a shorter operative time and fewer scar revisions. There were fewer minor complications with the vertical series, and it is safe and easy to adopt by the surgeon.
乳房缩小术是最常开展的整形手术之一。已经描述了许多乳房缩小术的方法，包括倒T形和垂直瘢痕技术以及各种类型的乳头真皮腺体蒂。
本研究比较了由同一位外科医生实施垂直瘢痕内侧蒂乳房缩小术与下蒂倒T形瘢痕乳房缩小术患者的手术效果。
将2002年1月至2005年7月期间连续接受倒T形瘢痕乳房缩小术的95例患者与2005年9月至2007年8月期间连续接受垂直瘢痕乳房缩小术的96例患者进行比较。比较患者年龄、体重指数（BMI）、切除重量、并发症及手术修复率。
两组患者的平均年龄、BMI和切除重量具有可比性。两组的主要并发症发生率相同（24%）。垂直组的血肿发生率较高（8例对3例；P<.05）。倒T形组伤口裂开更多（37例对11例；P<.05）、手术部位感染更多（16例对8例；P<.05），且手术时间更长（102分钟对83分钟；P<.05）。倒T形组的瘢痕修复率较高（11例对32例；P<.05）。
垂直瘢痕乳房缩小术与倒T形瘢痕乳房缩小术的主要并发症情况相似，但手术时间更短，瘢痕修复更少。垂直组的轻微并发症更少，外科医生采用该方法安全且简便。
