Durgun Mustafa, Ozakpinar Hülda Rifat, Selçuk Caferi Tayyar, Sarici Murat, Ceran Candemir, Seven Ergin
Medical Faculty, Plastic Reconstructive and Aesthetic Surgery Department, Dicle University, Diyarbakır, 21280, Turkey,
Aesthetic Plast Surg. 2014 Jun;38(3):533-9. doi: 10.1007/s00266-014-0317-3. Epub 2014 Apr 26.
Inverted nipple occurs when part of or the entire nipple is abnormally located below the areola. Surgical repair of severe cases involves suture or flap techniques. Complications include recurrence, lactation problems, hypopigmented scar formation in the areola, and loss of sensation. We describe an alternative repair technique using a dermal flap and traction, which leads to less apparent scarring and preserves lactation function and sensation.
Between January 2010 and January 2013, we treated 28 inverted nipples in 16 patients using two areola-based triangular dermal flaps and traction. The scar was aligned with the junction of the nipple and the areola. Postoperatively, traction was applied through an apparatus prepared from a 50-cc syringe. Patients were followed up for 8-24 months (mean = 16.5 months).
Adequate projection was achieved in all patients and no wound dehiscence or complications such as infection occurred. Unilateral recurrence occurred in one patient on the 10th postoperative day. This patient was reoperated on successfully using the same method. No loss of sensation was observed in any of the patients during the postoperative period.
This dermal flap technique for treating inverted nipple was effective and preserved lactation function. The alignment of the scar with the junction of the nipple and the areola led to a more aesthetic appearance with no apparent scarring. The traction method helped maintain traction for a longer period, which in our opinion increased the success rate of the surgery.
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乳头内陷是指乳头部分或全部异常位于乳晕下方。严重病例的手术修复包括缝合或皮瓣技术。并发症包括复发、哺乳问题、乳晕色素减退性瘢痕形成和感觉丧失。我们描述了一种使用真皮瓣和牵引的替代修复技术，该技术导致的瘢痕不明显，并保留了哺乳功能和感觉。
2010年1月至2013年1月期间，我们使用两个基于乳晕的三角形真皮瓣和牵引技术治疗了16例患者的28个乳头内陷。瘢痕与乳头和乳晕的交界处对齐。术后，通过由50毫升注射器制备的装置进行牵引。患者随访8 - 24个月（平均 = 16.5个月）。
所有患者均获得了足够的突出，未发生伤口裂开或感染等并发症。1例患者在术后第10天出现单侧复发。该患者使用相同方法成功再次手术。术后期间未观察到任何患者感觉丧失。
这种治疗乳头内陷的真皮瓣技术有效且保留了哺乳功能。瘢痕与乳头和乳晕的交界处对齐，使外观更美观，无明显瘢痕。牵引方法有助于长时间保持牵引，我们认为这提高了手术成功率。
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