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巨乳症的缩乳术。

Reduction mammoplasty for macromastia.

作者信息

Brown D M, Young V L

机构信息

Division of Plastic Surgery, Washington University, School of Medicine, St. Louis, MO 63110.

出版信息

Aesthetic Plast Surg. 1993 Summer;17(3):211-23. doi: 10.1007/BF00636264.

DOI:10.1007/BF00636264
PMID:8213315
Abstract

Macromastia is a common cause of physical and emotional suffering. Reduction mammoplasty can provide relief from shoulder grooving, back and neck pain, intertrigo, and symptoms of ulnar nerve compression. Similarly, emotional well being is enhanced by improved self-image, increased capacity to participate in sports and work, and the ability to wear normal, attractive clothes. In the last three years, we have performed reduction mammoplasty using the inferior pedicle technique or free nipple graft in 75 patients. Preoperative symptoms typically included back pain, shoulder grooving, and a stooped posture. Fat necrosis was the most common complication and was associated with large resections. Patient satisfaction was high for both procedures.

摘要

巨乳症是身体和情感痛苦的常见原因。缩乳术可以缓解肩部压痕、背部和颈部疼痛、擦烂以及尺神经受压症状。同样,自我形象的改善、参与体育和工作能力的增强以及穿着正常、美观衣服的能力都能提升情绪健康。在过去三年里,我们采用下蒂技术或游离乳头移植术为75例患者实施了缩乳术。术前症状通常包括背痛、肩部压痕和驼背姿势。脂肪坏死是最常见的并发症,与大量组织切除有关。两种手术的患者满意度都很高。

相似文献

1
Reduction mammoplasty for macromastia.巨乳症的缩乳术。
Aesthetic Plast Surg. 1993 Summer;17(3):211-23. doi: 10.1007/BF00636264.
2
Maximizing breast projection with combined free nipple graft reduction mammaplasty and back-folded dermaglandular inferior pedicle.联合游离乳头移植缩小乳房成形术和后折真皮腺体下蒂技术最大化乳房突出度。
Breast J. 2007 May-Jun;13(3):226-32. doi: 10.1111/j.1524-4741.2007.00414.x.
3
Vertical reduction mammaplasty utilizing the superomedial pedicle: is it really for everyone?利用内侧上方蒂行垂直乳房缩小术:它真的适合每个人吗?
Aesthet Surg J. 2012 Aug;32(6):718-25. doi: 10.1177/1090820X12452733.
4
Periareolar reduction mammoplasty using an inferior dermal pedicle or a central pedicle.采用乳晕下真皮蒂或中央蒂的乳晕周围乳房缩小成形术。
J Plast Reconstr Aesthet Surg. 2008;61(3):275-81. doi: 10.1016/j.bjps.2007.10.024. Epub 2007 Nov 26.
5
The vertical reduction mammaplasty: a prospective analysis of patient outcomes.垂直双蒂乳房缩小术:患者预后的前瞻性分析
Plast Reconstr Surg. 2006 Feb;117(2):374-81; discussion 382-3. doi: 10.1097/01.prs.0000197336.68801.8d.
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An autoprosthesis technique for better breast projection in free nipple graft reduction mammaplasty.游离乳头乳晕皮瓣乳房缩小术中应用假体以改善乳房突出度的技术。
Aesthetic Plast Surg. 2012 Dec;36(6):1340-6. doi: 10.1007/s00266-012-9984-0. Epub 2012 Oct 9.
7
Breast-feeding, self-exam, and exercise practices before and after reduction mammoplasty.乳房缩小成形术前后的母乳喂养、自我检查及锻炼习惯
Ann Plast Surg. 2008 Oct;61(4):375-9. doi: 10.1097/SAP.0b013e318160223f.
8
Secondary reduction mammaplasty: does initial pedicle design matter?二期乳房缩小术:初始蒂部设计重要吗?
J Plast Surg Hand Surg. 2019 Apr;53(2):105-110. doi: 10.1080/2000656X.2018.1556670. Epub 2019 Jan 18.
9
The "Superior Ledge": a Modification of the Standard Superomedial Pedicle Reduction Mammoplasty to Accentuate Nipple-Areola Complex Projection.“上缘修整术”:对标准的上内侧蒂乳房缩小成形术的一种改良,以突出乳头乳晕复合体的突出度。
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10
Reduction mammaplasty: an outcome analysis.缩乳术:一项结果分析。
Ann Plast Surg. 1995 Oct;35(4):337-41. doi: 10.1097/00000637-199510000-00001.

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Clin Case Rep. 2020 Nov 6;9(1):198-202. doi: 10.1002/ccr3.3498. eCollection 2021 Jan.
2
The effect of reduction mammaplasty on the vertebral column: a radiologic study.缩乳术对脊柱的影响:一项放射学研究。
ScientificWorldJournal. 2013 Aug 25;2013:701391. doi: 10.1155/2013/701391. eCollection 2013.

本文引用的文献

1
Reduction mammaplasty with the nipple-areola carried on a single, narrow inferior pedicle.采用单一狭窄的下蒂携带乳头乳晕的乳房缩小术。
Ann Plast Surg. 1980 Sep;5(3):167-77. doi: 10.1097/00000637-198009000-00001.
2
Use of an axial flap for reduction mammaplasty.使用轴型皮瓣进行乳房缩小成形术。
Ann Plast Surg. 1981 Sep;7(3):204-6.
3
Reduction mammaplasty with inferiorly based glandular pedicle flap.采用下蒂腺体蒂瓣的缩乳术。
Ann Plast Surg. 1982 Dec;9(6):463-70. doi: 10.1097/00000637-198212000-00003.
4
The inferior segment technique for breast reduction.乳房缩小术的下极技术。
Ann Plast Surg. 1982 Jun;8(6):493-503. doi: 10.1097/00000637-198206000-00008.
5
Reduction mammaplasty with inferiorly based glandular flap.采用下蒂腺体瓣的乳房缩小术。
Ann Plast Surg. 1983 Sep;11(3):266.
6
Neurologic changes with excessively large breasts.乳房过大导致的神经学变化。
South Med J. 1972 Feb;65(2):177-80. doi: 10.1097/00007611-197202000-00010.
7
Breast lumps after reduction mammaplasty.乳房缩小成形术后的乳房肿块。
Ann Plast Surg. 1985 Nov;15(5):394-9. doi: 10.1097/00000637-198511000-00005.
8
Mammographic changes following reduction mammaplasty.缩乳术后的乳房X线变化。
Plast Reconstr Surg. 1987 Nov;80(5):691-8. doi: 10.1097/00006534-198711000-00006.
9
Reduction mammaplasty using the inferior glandular "pyramid" pedicle: experiences with 300 patients.
Plast Reconstr Surg. 1987 Jul;80(1):75-84. doi: 10.1097/00006534-198707000-00011.
10
Reduction mammoplasty: results of preoperative mammography and patient inquiry.缩乳术:术前乳房X线摄影及患者询问结果
Scand J Plast Reconstr Surg. 1986;20(3):303-5. doi: 10.3109/02844318609004491.