Schreiber Jeffrey E, Girotto John A, Mofid Mehrdad M, Singh Navin, Nahabedian Maurice Y
Division of Plastic and Reconstructive Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Aesthet Surg J. 2004 Jul-Aug;24(4):320-3. doi: 10.1016/j.asj.2004.04.004.
Although many techniques of reduction mammaplasty are currently in use, a prospective study quantitating the sensation of the nipple-areolar complex (NAC) after the performance of specific techniques has not been performed.
The purpose of this study was to quantitate the postoperative sensation of the NAC after reduction mammaplasty and to compare the results on the basis of the orientation of the vascularized pedicle.
We tested 42 patients divided into 4 groups: medial pedicle (9 patients), inferior pedicle (8 patients), free nipple transfer (8 patients), and a control group (17 patients). The specific mammaplasty technique chosen was based on the preoperative assessment and the estimated volume of resection. A Wise pattern approach was used in all cases. NAC sensation was quantified with the use of the Pressure Specified Sensory Device (Sensory Management Services LLC, Baltimore, MD).
We detected no significant difference in the volume of reduction between the free nipple group and the medial pedicle group (P =.14). NAC sensation in the free nipple transfer group was significantly lower than either of the pedicle techniques and control group in all areas of testing (P < 0.001), whereas the medial and inferior pedicle groups had no significant sensory differences in NAC sensation (P < 0.001).
The medial pedicle technique is safe and reliable and can be used for large-volume reduction mammaplasty to optimize sensation of the NAC.
尽管目前有多种缩乳术技术在使用，但尚未有一项前瞻性研究对特定技术实施后乳头乳晕复合体（NAC）的感觉进行量化。
本研究的目的是量化缩乳术后NAC的术后感觉，并根据带血管蒂的方向比较结果。
我们测试了42例患者，分为4组：内侧蒂组（9例患者）、下蒂组（8例患者）、游离乳头移植组（8例患者）和对照组（17例患者）。所选的具体缩乳术技术基于术前评估和估计的切除量。所有病例均采用Wise模式方法。使用压力特定感觉装置（Sensory Management Services LLC，巴尔的摩，马里兰州）对NAC感觉进行量化。
我们发现游离乳头组和内侧蒂组之间的缩乳量没有显著差异（P = 0.14）。在所有测试区域，游离乳头移植组的NAC感觉明显低于蒂技术组和对照组（P < 0.001），而内侧蒂组和下蒂组在NAC感觉方面没有显著的感觉差异（P < 0.001）。
内侧蒂技术安全可靠，可用于大容量缩乳术以优化NAC的感觉。
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