男性乳房肥大症的偏心乳房切除术及乳晕周围锯齿状切口
Eccentric mastectomy and zigzag periareolar incision for gynecomastia.
作者信息
Tu Lung-Chen, Tung Kwang-Yi, Chen Heng-Chang, Huang Wen-Chen, Hsiao Hung-Tao
机构信息
Department of Plastic Surgery, Mackay Memorial Hospital, 92, Sec.2, Chung-Shan N. Rd., Taipei, Taiwan.
出版信息
Aesthetic Plast Surg. 2009 Jul;33(4):549-54. doi: 10.1007/s00266-008-9285-9. Epub 2009 Feb 10.
BACKGROUND
Gynecomastia is enlargement of the male breast caused by gland proliferation. Surgery is performed for symptom relief or for cosmetic reasons. The authors used a modified operative procedure, then evaluated the results and safety.
METHODS
Between 2001 and 2005, 22 men (median age, 26 years; range, 13-63 years) with gynecomastia underwent surgery. The operative procedure included a zigzag periareolar skin incision, eccentric subcutaneous mastectomy, and liposuction, with postoperative compression.
RESULTS
All the patients were satisfied with the results of the surgery, which produced a chest contour resembling a normal male chest rather than simply a smaller breast. The only complication was a hematoma. One patient was found to have breast cancer.
CONCLUSIONS
The normal male chest contour can be restored by the described method of eccentric subcutaneous mastectomy.
背景
男性乳房肥大是由腺体增生引起的男性乳房增大。手术旨在缓解症状或出于美容目的。作者采用了一种改良的手术方法，然后评估了其效果和安全性。
方法
2001年至2005年间，22例男性乳房肥大患者（中位年龄26岁；范围13 - 63岁）接受了手术。手术步骤包括乳晕周围锯齿状皮肤切口、偏心皮下乳房切除术和抽脂术，并在术后进行加压包扎。
结果
所有患者对手术效果均满意，术后胸部轮廓类似正常男性胸部，而非仅仅是较小的乳房。唯一的并发症是血肿。发现1例患者患有乳腺癌。
结论
通过所述的偏心皮下乳房切除术方法可恢复正常男性胸部轮廓。
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