Apfelberg D B, Maser M R, Lash H
Plast Reconstr Surg. 1978 Apr;61(4):561-3. doi: 10.1097/00006534-197804000-00011.
Biopsy specimens from 38 "de-epithelized" dermal pedicles were examined microscopically. There was considerable variation in the depth of the plane among surgeons, procedures, and even between specimens from two sides of a bilateral procedure done by the same surgeon. Usually, the "de-epithelization" removed all the epidermis plus the upper layer of dermis containing the pilosebaceous apparatus. The significance of this finding as related to the future development of epidermal inclusion cysts is uncertain. Also, it brings into question the importance of "the dermal plexus circulation," which many have thought to be critical for viability of the nipple.
对38个“去上皮化”真皮蒂的活检标本进行了显微镜检查。外科医生之间、手术操作之间，甚至同一外科医生进行的双侧手术两侧的标本之间，平面深度都存在很大差异。通常，“去上皮化”会去除所有表皮以及包含毛囊皮脂腺的上层真皮。这一发现与表皮样囊肿未来发展的相关性尚不确定。此外，这也让人质疑“真皮丛循环”的重要性，许多人认为它对乳头的存活至关重要。
