Corriveau S, Jacobs J S
Department of Plastic Surgery, Eastern Virginia Graduate School of Medicine, Norfolk.
Clin Plast Surg. 1990 Jan;17(1):151-60.
Macromastia is a deforming, disabling, and painful condition, especially in the adolescent. Multiple procedures have been advocated and are successful for the reduction of breast tissue. In addition, adjunctive therapy with hormones may prevent relapse. The hormonal influences on breast development and the etiology of macromastia remain complex and not well understood. It is safe to surmise that the pathologic condition is multifactorial, with both inherited and acquired aspects. In the various techniques for reduction, it is important to have a clear understanding of vascular and neural innervation of the breast in order to maintain maximum security in reduction without loss of excessive vital tissue. Although both sensory ability and lactation function are diminished with most procedures and eliminated with some, careful planning and patient counseling in all cases should lead to maximal benefit and optimal results.
巨乳症是一种会导致畸形、功能障碍且伴有疼痛的病症，在青少年中尤为如此。已经有多种手术方法被提倡且在减少乳腺组织方面取得了成功。此外，激素辅助治疗可能会预防复发。激素对乳腺发育的影响以及巨乳症的病因仍然复杂且尚未完全明确。可以有把握地推测，这种病理状况是多因素的，涉及遗传和后天因素。在各种缩乳技术中，清楚了解乳房的血管和神经支配非常重要，以便在缩乳过程中最大程度地保障安全，同时避免过多重要组织的损失。尽管大多数手术会降低感觉能力和泌乳功能，有些手术甚至会消除这些功能，但在所有情况下仔细规划并向患者提供咨询，应能带来最大益处并取得最佳效果。
