Abulezz T
Department of Plastic Surgery, Faculty of Medicine, Sohag University, Egypt.
Ann Burns Fire Disasters. 2009 Dec 31;22(4):208-11.
Post-burn or post-inflammatory scarring of the breast may have significant effects on the shape and volume of the breast as well as on the nipple-areola complex (NAC). Significant asymmetry of the breasts and distortion of the NAC may result, with marked consequent psychological and physiological sequelae for the patients. This report presents three cases of scar-induced breast deformities and the use of modified reduction mammoplasty for their management. The breast scarring was induced either by burn injuries or by chronic granulomatous mastitis. Reduction mammoplasty was used to reshape the deformed scarred breast and to balance the volume asymmetry between the scarred and the non-scarred breasts. The NAC was mobilized safely on a dermal parenchymal pedicle in any direction regardless of the orientation of the pedicle. In conclusion, cosmetic surgery in the scarred breast was found to be a safe and rewarding procedure with good aesthetic results. However, it has to be carefully planned.
烧伤后或炎症后乳房瘢痕形成可能会对乳房的形状、体积以及乳头乳晕复合体（NAC）产生显著影响。乳房可能会出现明显不对称，乳头乳晕复合体变形，给患者带来严重的心理和生理后遗症。本报告介绍了三例瘢痕性乳房畸形病例以及采用改良缩乳术进行治疗的情况。乳房瘢痕形成是由烧伤或慢性肉芽肿性乳腺炎引起的。缩乳术用于重塑畸形瘢痕乳房，并平衡瘢痕乳房与未瘢痕化乳房之间的体积不对称。无论蒂的方向如何，乳头乳晕复合体均可在真皮实质蒂上安全地向任何方向移动。总之，瘢痕乳房的整形手术被认为是一种安全且有价值的手术，美学效果良好。然而，必须精心规划。
