van Durme Julie, Cooreman Anne, Paternoster Julie, Vranckx Jan Jeroen
Department of Plastic and Reconstructive surgery, University Hospitals of Leuven, 3000 Leuven, Belgium.
JPRAS Open. 2024 Jul 28;42:315-328. doi: 10.1016/j.jpra.2024.07.011. eCollection 2024 Dec.
Tuberous breast deformity is a congenital breast anomaly that emerges during puberty and is characterized by breast base constriction, breast hypoplasia, superior malposition of the inframammary fold, enlarged areola, herniation of breast tissue into the areola and breast asymmetry. Patients may exhibit one, several or all of these characteristics in their unilateral or bilateral deformity presentation. Numerous surgical treatments have been described, yet no consensus has been reached regarding the optimal treatment. A scoping review was conducted according to the PRISMA guidelines using the following databases: PubMed, EMBASE, Cochrane, Web of Science, Scopus, clinicaltrial.gov and ICTRP databases. Inclusion criteria were English- or French-language articles published after January 1, 2000 that included at least 20 patients in their study on the surgical treatment of tuberous breast deformity in women. The initial electronic database search identified 2,210 records, 27 of which met the inclusion criteria. We summarized the 27 articles, focusing on the classification system, number of patients, treatments for hypoplasia, constricted ring, areolar herniation, enlargement and incision used. This review explored the different surgical approaches suited to the varying characteristics of tuberous breast deformity. It is important to consider the various surgical approaches to achieve the most suitable treatment as each patient presents with unique characteristics and preferences.
乳房管状畸形是一种先天性乳房异常，在青春期出现，其特征为乳房基部狭窄、乳房发育不全、乳房下皱襞位置偏高、乳晕增大、乳房组织疝入乳晕以及乳房不对称。患者在单侧或双侧畸形表现中可能呈现出这些特征中的一种、几种或全部。已经描述了许多外科治疗方法，但关于最佳治疗方法尚未达成共识。根据PRISMA指南，使用以下数据库进行了一项范围综述：PubMed、EMBASE、Cochrane、科学网、Scopus、clinicaltrial.gov和ICTRP数据库。纳入标准为2000年1月1日之后发表的英文或法文文章，这些文章在其关于女性乳房管状畸形手术治疗的研究中至少纳入了20名患者。最初的电子数据库检索识别出2210条记录，其中27条符合纳入标准。我们总结了这27篇文章，重点关注分类系统、患者数量、发育不全、狭窄环、乳晕疝、增大以及所使用切口的治疗方法。本综述探讨了适合乳房管状畸形不同特征的不同手术方法。考虑各种手术方法以实现最合适的治疗非常重要，因为每个患者都有独特的特征和偏好。
