Vaucher R, Dast S, Assaf N, Sinna R
Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Amiens, site Sud, 80054 Amiens cedex 1, France.
Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Amiens, site Sud, 80054 Amiens cedex 1, France.
Ann Chir Plast Esthet. 2016 Jun;61(3):206-11. doi: 10.1016/j.anplas.2016.01.002. Epub 2016 Feb 23.
The surgical approach of gynecomastia, sexual reassignment surgery in female-to-male transsexuals and the increase of number of obese wishing to turn to plastic surgery led us to deepen the anatomical knowledge of the nipple areola complex (NAC) in men, poorly retailed in the literature. By inspiring us of the methodology of a Japanese study, we studied 50 healthy volunteers male, from 18 to 55 years old, from July till August 2015. We measured various distances relative to the NAC to define its vertical and horizontal position, as well as the internipple distance according to the size, to the weight and to the body mass index (BMI). At the end of the analysis, we were able to underline a lower vertical thoracic position of the NAC in the tall category of person, a more side horizontal position to the subject presenting a high BMI and a linear relation between the BMI and the internipple (Em) defined by (Em)=8.96×BMI. The surgeon's judgment and the desires of the patient are essentials basis of therapeutics decisions that could be lean on this anatomical study, which allowed to establish an idea of the cartography of the NAC in man. It will be interesting and necessary to confront it with other studies with larger scale.
男性乳房肥大的手术方法、女变男跨性别者的性别重置手术以及希望进行整形手术的肥胖者数量的增加，促使我们加深对男性乳头乳晕复合体（NAC）解剖学知识的了解，而这在文献中记载较少。借鉴一项日本研究的方法，我们在2015年7月至8月期间，对50名年龄在18至55岁之间的健康男性志愿者进行了研究。我们测量了与NAC相关的各种距离，以确定其垂直和水平位置，以及根据体型、体重和体重指数（BMI）确定的乳头间距。分析结束时，我们发现，在高个子人群中，NAC的垂直胸腔位置较低；在BMI较高的受试者中，NAC的水平位置更偏向一侧；并且BMI与乳头间距（Em）之间存在线性关系，即（Em）=8.96×BMI。外科医生的判断和患者的意愿是治疗决策的重要依据，这些决策可以基于这项解剖学研究，该研究有助于建立男性NAC的图谱概念。将其与其他更大规模的研究进行对比将会很有趣且很有必要。
