Oneal R M, Goldstein J A, Rohrich R, Izenberg P H, Pollock R A
University of Michigan Medical Center, Catherine McCauley Health Center, Ann Arbor.
Ann Plast Surg. 1991 Feb;26(2):117-21. doi: 10.1097/00000637-199102000-00002.
Multiple techniques for breast reduction have been proposed. For carefully selected women with macromastia, the technique of choice may be amputation mammoplasty with free nipple-areolar grafting. These select groups include the following: the poor-risk elderly, women with systemic disease that could affect the vascularity of the skin flaps or impair wound healing, women with previous operative procedures in the breast affecting skin flap or pedicle vascularity, and women with indications for removal of tissue in the region of the inferior pedicle. Our experience demonstrates that in these high-risk women, amputation mammoplasty with certain technical refinements provides an aesthetic safe result without significant perioperative surgical or medical complications. A clinical series is presented with an average follow-up of 2.75 years.
已经提出了多种乳房缩小技术。对于精心挑选的巨乳症女性，首选技术可能是带游离乳头乳晕移植的乳房切除术。这些特定群体包括以下几类：高风险的老年人、患有可能影响皮瓣血管供应或损害伤口愈合的全身性疾病的女性、之前乳房手术影响皮瓣或蒂血管供应的女性，以及有指征切除下蒂区域组织的女性。我们的经验表明，在这些高风险女性中，采用某些技术改进的乳房切除术能带来美观且安全的效果，而不会出现明显的围手术期手术或医疗并发症。现呈现一个平均随访2.75年的临床系列。
