Bach Alexander D, Kneser Ulrich, Beier Justus P, Breuel Christiane, Horch Raymund E, Leffler Mareike
Department of Plastic and Hand Surgery, University Hospital Erlangen-Nuernberg, University Hospital Erlangen-Nuernberg, Krankenhausstrasse, Erlangen, Germany.
Breast J. 2009 May-Jun;15(3):279-86. doi: 10.1111/j.1524-4741.2009.00717.x.
Tuberous breast deformity is a pathologic condition of the breast affecting teenage women. The aberration of breast shape in tuberous breast deformity consisting of a constricting ring at the breast base, breast tissue deficiency, and herniation of breast tissue into the nipple-areola-complex with areola enlargement and additional asymmetry makes the surgical correction challenging. In the present study, 15 patients were operated using a surgical procedure, which addresses all aspects of the deformity at a one-stage operation. The described technique results in a periareolar scar only, and the use of tissue expanders or skin flaps is unnecessary. Minor periareolar scar revision surgery was necessary in eight of 15 patients (53%) because of hypertrophic or expanded scarring. In two patients, implant dislocation occurred and therefore surgical revision was necessary. In all cases, an excellent final aesthetic result with a high patient satisfaction was achieved.
乳房管状畸形是一种影响青少年女性的乳房病理状况。乳房管状畸形的乳房形状异常包括乳房基部的缩窄环、乳腺组织不足以及乳腺组织疝入乳头乳晕复合体，伴有乳晕增大和额外的不对称，这使得手术矫正具有挑战性。在本研究中，15例患者接受了一种手术操作，该操作在一期手术中解决了畸形的所有方面。所描述的技术仅导致乳晕周围瘢痕，无需使用组织扩张器或皮瓣。15例患者中有8例（53%）因瘢痕增生或扩大而需要进行轻微的乳晕周围瘢痕修复手术。2例患者发生了植入物移位，因此需要进行手术修复。在所有病例中，均获得了极佳的最终美学效果，患者满意度很高。
