Aiache A
Department of Surgery, Cedars Sinai Medical Center, Los Angeles.
Ann Plast Surg. 1990 Dec;25(6):457-60. doi: 10.1097/00000637-199012000-00005.
As other methods for correction of the inverted nipple have proved unreliable, I use my own technique described herein. An infra-areolar semicircular incision is made through the skin and subcutaneous tissue. The areola is then undermined until the ducts are reached. These lactiferous ducts are transected, and the nipple is then disinvaginated with sharp and blunt dissection and restructured in the proper position with dissection within it, similar to the manner in which a glove finger is expanded. Once the required shape has been achieved, the tissues at the base of the nipple, as well as the proximal cut portion of the ducts imbricating them, are reapproximated in layers to prevent recurrence. Closure of the infra-areolar incision is then performed. Satisfactory and permanent results have been obtained with this method, with lack of circulation in the areola and limited superficial necrosis occurring only in rare cases.
由于其他矫正乳头内陷的方法已被证明不可靠，我采用本文所述的自己的技术。通过皮肤和皮下组织做一个乳晕下半圆形切口。然后分离乳晕直至到达乳管。切断这些输乳管，然后用锐性和钝性分离法将乳头拉出凹陷，并在乳头内进行分离使其在合适位置重新塑形，类似于撑开手套手指的方式。一旦达到所需形状，乳头基部的组织以及包绕它们的乳管近端切断部分分层重新对合，以防止复发。然后缝合乳晕下切口。用这种方法已获得满意和持久的效果，仅在极少数情况下乳晕出现血运障碍和局限性浅表坏死。
