Jeong Jae Hoon, Park Iehyon, Han Jihyeon, Park Ji Ung
a Department of Plastic and Reconstructive Surgery , Seoul National University Bundang Hospital , Seongnam , Republic of Korea.
b Department of Plastic and Reconstructive Surgery , Seoul National University Boramae Medical Center , Seoul , Republic of Korea.
J Plast Surg Hand Surg. 2018 Apr;52(2):87-93. doi: 10.1080/2000656X.2017.1338184. Epub 2017 Jul 2.
Various techniques have been reported for correcting inverted nipples; however, problems such as incomplete correction, recurrence, scarring and nerve or duct injury persist. To minimise the recurrence rate and reliably attain a well-projected nipple, we developed a technique involving a single suture that runs through both the periphery and the core of the nipple. After the dissection and release of fibrotic connective tissue, an absorbable monofilament suture was passed through the periphery and core to leave double tracks of the suture at all locations, creating the final shape of a cross inside a circle (resembling the sun-cross symbol). Finally, the suture was tied in a purse-string manner to push the nipple outward. We performed this surgery on 34 congenital cases, comprising 29 patients with bilateral inverted nipples, 5 patients with a unilateral inverted nipple and 12 patients with an acquired deformity. During a mean follow-up period of 22.4 months, all of the corrected nipples remained everted without reinvagination. We successfully corrected inverted nipples with the double-track sun-cross running suture technique, which provided long-lasting eversion and created an aesthetically pleasing nipple contour.
已有多种用于矫正乳头内陷的技术被报道；然而，诸如矫正不完全、复发、瘢痕形成以及神经或导管损伤等问题依然存在。为了将复发率降至最低并可靠地获得突出良好的乳头，我们开发了一种技术，该技术采用一根单缝线贯穿乳头的周边和核心。在解剖并松解纤维化结缔组织后，将一根可吸收单丝缝线穿过周边和核心，使缝线在所有位置留下双轨，形成圆内十字的最终形状（类似太阳十字符号）。最后，以荷包缝合法系紧缝线以将乳头向外推。我们对34例先天性病例进行了该手术，其中包括29例双侧乳头内陷患者、5例单侧乳头内陷患者以及12例后天性畸形患者。在平均22.4个月的随访期内，所有矫正后的乳头均保持外翻，未再内陷。我们通过双轨太阳十字连续缝合法成功矫正了乳头内陷，该方法提供了持久的外翻效果并塑造了美观的乳头轮廓。
