[带宽上蒂的垂直双蒂乳房缩小术]
[Vertical reduction mammaplasty with wide superior pedicle].
作者信息
Qi Fa-zhi, Zhang Yong, Gu Jian-ying, Feng Zi-hao, Yang Zhen, Shi Yue-dong
机构信息
Department of Plastic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2009 Nov;25(6):416-9.
OBJECTIVE
To report the reduction mammaplasty with vertical incision and superior wide pedicle.
METHODS
Typical Lejour mosque-dome design was performed. The inferior part of glandular tissue and skin were excised. The nipple-and-areola complex (NAC) was elevated to normal position with superior wide pedicle. The breast morphology was modified with vertical scar left.
RESULTS
46 patients were treated. 4 patients had unilateral breast reduction. 14 breasts had wound dehiscence. 3 breasts received debridement, others were treated conservatively with dressings. No complete NAC necrosis occurred.
CONCLUSIONS
The reduction mammaplasty with vertical incision and superior wide pedicle is a safe and effective method with a low risk of NAC necrosis.
目的
报道垂直切口加高位宽蒂的乳房缩小整形术。
方法
采用典型的勒茹尔清真寺穹顶设计。切除腺体组织和皮肤的下部。乳头乳晕复合体（NAC）通过高位宽蒂提升至正常位置。保留垂直瘢痕以改善乳房形态。
结果
共治疗46例患者。4例为单侧乳房缩小。14例乳房出现伤口裂开。3例乳房接受了清创术，其他通过换药保守治疗。未发生完全性乳头乳晕复合体坏死。
结论
垂直切口加高位宽蒂的乳房缩小整形术是一种安全有效的方法，乳头乳晕复合体坏死风险低。
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