Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Aesthetic Plast Surg. 2011 Dec;35(6):1137-42. doi: 10.1007/s00266-011-9739-3. Epub 2011 May 10.
For female patients, an inverted nipple can result in functional problems, such as difficulty breast feeding, and emotional difficulties because of self-consciousness about the condition. Numerous surgical techniques for inverted nipple correction have been proposed, but none of the methods provides a reliable outcome. Most methods involve releasing retractile ducts and fibrous bands and adding bulk at the base of nipple; however, these techniques can cause injury to normal lactiferous ducts and sensory dysfunction. Herein we describe a "telescope method," performed under local anesthesia, which consists of making a circumferential incision, pulling out the nipple, and tightening the nipple base. With this technique, most lactiferous ducts and parallel sensory nerves that travel through the nipple base are not injured, and the procedure is associated with a less visible scar and nipple deformity than other methods. We report on 23 nipples of 17 patients that were successfully treated with this method. There was no recurrence of nipple inversion or sensory disturbance in the follow-up period. This technique is a simple, safe, and reliable method for the correction of severely inverted nipples.
对于女性患者，乳头内陷会导致功能问题，例如母乳喂养困难，并且由于对这种情况的自我意识而导致情绪困难。已经提出了许多用于矫正乳头内陷的手术技术，但没有一种方法能提供可靠的结果。大多数方法涉及释放退缩的导管和纤维带，并在乳头底部增加体积；然而，这些技术可能会对正常的输乳管和感觉功能造成损伤。在此，我们描述了一种在局部麻醉下进行的“望远镜方法”，包括做一个环形切口，拔出乳头，并收紧乳头底部。通过这种技术，大多数输乳管和穿过乳头底部的并行感觉神经不会受伤，并且与其他方法相比，该手术的疤痕和乳头畸形不太明显。我们报告了 17 名患者的 23 个乳头，这些乳头均成功采用该方法进行了治疗。在随访期间，没有乳头内翻或感觉障碍复发。该技术是矫正严重乳头内陷的一种简单、安全、可靠的方法。
