Thomas W O, Moline S, Harris C N
Department of Surgery, University of South Alabama College of Medicine, University of South Alabama Knollwood Park Hospital, Mobile, USA.
Ann Plast Surg. 1998 Mar;40(3):229-34.
Breast reduction and mastopexy have been performed with a number of techniques. Due to problems encountered with prior procedures (such as fat necrosis, skin and nipple necrosis, decreased nipple sensitivity, shaping difficulties, and bleeding), we have changed our approach to breast reduction and mastopexy. Eleven initial patients have been operated with a design-enhanced procedure that emphasizes (1) a wide-based, glandular deepithelialized pedicle; (2) an attempt to preserve the fourth intercostal nerve; (3) adequate vertical-dimension skin excision leaving no vertical scar; (4) mesial advancement of thick, superior skin flaps; and (5) administration of dilute lidocaine/epinephrine solution. We have been pleased with our results and recommended this technique as our procedure of choice for patients with very large, very ptotic breasts.
已经采用多种技术进行了乳房缩小术和乳房固定术。由于先前手术中遇到的问题（如脂肪坏死、皮肤和乳头坏死、乳头敏感性降低、塑形困难和出血），我们改变了乳房缩小术和乳房固定术的方法。11例初治患者接受了一种设计改进的手术，该手术强调：（1）一个宽基底的、腺体去上皮化蒂；（2）试图保留第四肋间神经；（3）充分切除垂直方向的皮肤且不留垂直瘢痕；（4）厚的上侧皮瓣向内侧推进；（5）注射稀释的利多卡因/肾上腺素溶液。我们对结果很满意，并推荐该技术作为治疗非常大且下垂严重乳房患者的首选手术方法。
