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采用麦基索克技术及游离乳头移植的缩乳术：一种安全的方法。

Reduction Mammoplasty Using the McKissock Technique With a Free Nipple Graft: A Safe Approach.

作者信息

Villarreal-Salgado José L, Luna-Guerrero Carlos E, Ocampo-Guzmán Luis E, Vázquez-Lara Sergio E, Zamora-Veliz Harvey Y

机构信息

Plastic and Reconstructive Surgery, Institute for Social Security and Services for State Workers, Zapopan, MEX.

General Surgery, Hospital Regional Universitario de Colima, Colima, MEX.

出版信息

Cureus. 2024 Nov 9;16(11):e73359. doi: 10.7759/cureus.73359. eCollection 2024 Nov.

DOI:10.7759/cureus.73359
PMID:39659345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11631152/
Abstract

Mammary hypertrophy, or macromastia, is an increase in breast tissue volume due to multiple etiologies and still unknown pathophysiology. We report the case of a 45-year-old patient with juvenile macromastia, which caused cervical pain and decreased quality of life. It was decided to perform a reduction mammoplasty with a modified McKissock technique with a free nipple graft; the resected glandular tissue was 1039 grams in the right breast and 1029 grams in the left breast. An adequate projection of the upper pole was achieved with a good aesthetic result and clinical improvement of the patient.

摘要

乳腺肥大，即巨乳症，是由多种病因及尚不明的病理生理学导致的乳腺组织体积增大。我们报告一例45岁患有青少年巨乳症的患者，该病症导致颈部疼痛并降低了生活质量。决定采用改良麦基索克技术并游离乳头移植进行乳房缩小成形术；右乳切除的腺体组织为1039克，左乳为1029克。上极获得了足够的隆起，取得了良好的美学效果，患者的临床症状也得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/3da3b8b23a92/cureus-0016-00000073359-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/2eb883cb28fc/cureus-0016-00000073359-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/33bba3fa45bd/cureus-0016-00000073359-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/3da3b8b23a92/cureus-0016-00000073359-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/2eb883cb28fc/cureus-0016-00000073359-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/33bba3fa45bd/cureus-0016-00000073359-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e4e/11631152/3da3b8b23a92/cureus-0016-00000073359-i03.jpg

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本文引用的文献

1
Reduction Mammoplasty for Macromastia: Our Experience Using the Inferior Pedicle with Inverted-T Skin Resection.巨乳缩小术：我们采用带蒂下蒂并倒T形皮肤切除的经验。
J West Afr Coll Surg. 2023 Jul-Sep;13(3):77-83. doi: 10.4103/jwas.jwas_30_23. Epub 2023 Jun 27.
2
Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia.巨乳症患者采用延长蒂技术与游离乳头移植缩乳术的效果比较。
Aesthet Surg J. 2023 Feb 3;43(2):NP91-NP99. doi: 10.1093/asj/sjac258.
3
The role of oestrogen and progesterone receptors in gigantomastia.
雌激素和孕激素受体在巨乳症中的作用。
Arch Med Sci. 2019 Sep 26;18(4):1016-1020. doi: 10.5114/aoms.2019.88280. eCollection 2022.
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Free Nipple Graft Breast Reduction without a Vertical Incision.无垂直切口的游离乳头移植乳房缩小术
Plast Reconstr Surg Glob Open. 2022 Mar 2;10(3):e4167. doi: 10.1097/GOX.0000000000004167. eCollection 2022 Mar.
5
Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women.乳房缩小手术是否能提高健康相关生活质量？澳大利亚女性的前瞻性队列研究。
BMJ Open. 2020 Feb 17;10(2):e031804. doi: 10.1136/bmjopen-2019-031804.
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"Reduction mammaplasty with superomedial pedicle technique: A literature review and retrospective analysis of 938 consecutive breast reductions".“带superomedial pedicle 技术的乳房缩小术：文献回顾和 938 例连续乳房缩小术的回顾性分析”。
J Plast Reconstr Aesthet Surg. 2019 Mar;72(3):410-418. doi: 10.1016/j.bjps.2018.12.004. Epub 2018 Dec 14.
7
Breast Hypertrophy, Reduction Mammaplasty, and Body Image.乳房肥大、乳房缩小整形术与身体形象。
Aesthet Surg J. 2018 Aug 16;38(9):972-979. doi: 10.1093/asj/sjx271.
8
The Superomedial Pedicle Wise-Pattern Breast Reduction: Reproducible, Reliable, and Resilient.超内侧蒂Wise模式乳房缩小术：可重复、可靠且有弹性。
Semin Plast Surg. 2015 May;29(2):94-101. doi: 10.1055/s-0035-1549052.
9
Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter?乳房缩小术后的生活质量：使用乳房Q问卷进行的10年回顾性分析：乳房大小重要吗？
Ann Plast Surg. 2012 Oct;69(4):361-3. doi: 10.1097/SAP.0b013e31824a218a.
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Unilateral juvenile (virginal) hypertrophy of the breast.单侧青少年（处女型）乳房肥大。
Turk J Pediatr. 2008 May-Jun;50(3):278-81.