Chiummariello Stefano, Angelisanti Matteo, Arleo Sergio, Alfano Carmine
Ann Ital Chir. 2013 Jul-Aug;84(4):385-8.
The preservation of the sensitivity of the nipple-areola complex after reduction mammoplasty is an important goal of the modern surgery. The aim of this paper is to evaluate the differences in the recovery of sensitivity after reduction mammoplasty using different techniques.
Using the Semmes-Weinstein monofilament the sensitivity was evaluated in 64 patients undergone to a bilateral reduction mammoplasty: 36 were treated with inferior pedicle technique and 28 with a superior pedicle techniques. The evaluation of the sensitivity was performed in nine points: the nipple, the four quadrants of the areola and the 4 quadrants of the skin around the areola both in the preoperative and at 3 weeks, 3, 6 and 12 months postoperatively.
The major alterations were found in the sensitivity of the nipple: the major deficiencies were seen in women treated with a superior pedicle techniques. Minor differences were found about the sensitivity of the areola and periareolar skin.
The techniques which provide the preparation of a glandular flap with superior pedicle have an increased risk of altering the innervation of the nipple-areola complex. The preparation of a glandular flap with inferior pedicle allows the restoration of the pre-operative sensitivity in 6-12 months.
Breast sensitivity, Reduction mammoplasty, Sensitivity alteration.
在乳房缩小成形术后保留乳头乳晕复合体的敏感性是现代手术的一个重要目标。本文旨在评估采用不同技术进行乳房缩小成形术后敏感性恢复的差异。
使用Semmes-Weinstein单丝对64例行双侧乳房缩小成形术的患者进行敏感性评估：36例采用下蒂技术治疗，28例采用上蒂技术治疗。在术前以及术后3周、3个月、6个月和12个月时，对乳头、乳晕的四个象限以及乳晕周围皮肤的四个象限共九个点进行敏感性评估。
乳头敏感性出现了主要改变：采用上蒂技术治疗的女性出现了主要缺陷。乳晕和乳晕周围皮肤的敏感性存在细微差异。
采用上蒂制备腺体瓣的技术会增加改变乳头乳晕复合体神经支配的风险。采用下蒂制备腺体瓣可在6至12个月内恢复术前敏感性。
乳房敏感性；乳房缩小成形术；敏感性改变
