Hawtof D B, Levine M, Kapetansky D I, Pieper D
Section of Plastic Surgery, Providence Hospital, Southfield, MI.
Ann Plast Surg. 1989 Jul;23(1):3-10. doi: 10.1097/00000637-198907000-00002.
A retrospective study of breast reductions in 268 patients by two plastic surgeons was performed. Particular attention was paid to those patients treated by inferior pedicle techniques; these patients were compared with those treated by free nipple grafts. According to our findings, patients with skin loss were heavier and had longer suprasternal notch-to-nipple distances. Patients who had free nipple grafts were older and heavier and had larger specimen weights and longer suprasternal notch-to-nipple distances. Fifty-four of the original 268 patients were included in a substudy of larger breasts, defined as those with a specimen weight of over 700 g. Nineteen patients underwent free nipple grafts, and 35 underwent inferior pedicle techniques. None of the 19 patients having free nipple grafts developed complications, whereas 6 of the 35 undergoing inferior pedicle techniques sustained significant complications. We conclude that free nipple grafts should be considered over inferior pedicles in heavier patients with breast ptosis.
两位整形外科医生对268例接受乳房缩小术的患者进行了一项回顾性研究。特别关注那些采用下蒂技术治疗的患者；将这些患者与采用游离乳头移植术治疗的患者进行比较。根据我们的研究结果，出现皮肤损失的患者体重更重，胸骨上切迹至乳头的距离更长。接受游离乳头移植术的患者年龄更大、体重更重，标本重量更大，胸骨上切迹至乳头的距离更长。最初的268例患者中有54例被纳入乳房较大患者的子研究，乳房较大定义为标本重量超过700克。19例患者接受了游离乳头移植术，35例采用了下蒂技术。接受游离乳头移植术的19例患者均未出现并发症，而采用下蒂技术的35例患者中有6例出现了严重并发症。我们得出结论，对于乳房下垂较重的患者，应考虑采用游离乳头移植术而非下蒂技术。
