Noer H H, Søe-Nielsen N H, Gottlieb J, Partoft S
Plastikkirurgisk afdeling, Københavns Amts Sygehus i Gentofte.
Ugeskr Laeger. 1991 Feb 18;153(8):578-80.
Gynecomastia was treated surgically by Webster's method in 23 patients during the period from 1983 to 1989. This surgical procedure was used if gynecomastia was classified from stage 1 to stage 2B. Cosmetic reasons were the major reasons for operation in 70% of the patients. The most common late postoperative sequelae were inverted areolae and hypaesthesiae of the areolar region. When operation was carried out, half of the patients were overweight. The remainder were of normal weight. Among the patients, who were overweight time of operation, 2/3 found that the cosmetic correction was unsatisfactory. In the "normal weight group" 2/3 were satisfied with the cosmetic result. The patients in the dissatisfied group found that too little tissue had been removed from the area. The operation is carried out through a little infraareolar incision. Because of this, it is technically difficult, especially in patients with considerable subcutaneous tissue. On this background, we find that Webster's method alone, not should be used as surgical treatment of gynecomastia in overweight patients.
1983年至1989年期间，采用韦伯斯特方法对23例男性乳腺增生患者进行了手术治疗。如果男性乳腺增生被分类为1期至2B期，则采用这种手术方法。70%的患者手术的主要原因是出于美容需求。术后最常见的后遗症是乳晕倒置和乳晕区域感觉减退。手术时，一半患者超重，其余体重正常。在超重患者中，2/3的人发现美容矫正效果不理想。在“正常体重组”中，2/3的人对美容效果满意。不满意组的患者发现该区域切除的组织过少。手术通过乳晕下小切口进行。因此，该手术在技术上具有难度，尤其是对于皮下组织较多的患者。基于此，我们发现，韦伯斯特方法不应用于超重男性乳腺增生患者的手术治疗。
