Peters M H, Vastine V, Knox L, Morgan R F
University of Virginia Health Science Center, Department of Plastic and Reconstructive Surgery, Charlottesville 22908, USA.
Ann Plast Surg. 1998 Mar;40(3):241-5. doi: 10.1097/00000637-199803000-00008.
Many methods have been described for the treatment of gynecomastia. Eleven adolescent boys have been managed with a bipedicle technique. These patients were evaluated for nipple-areolar viability, scarring, patient satisfaction, and hematoma or seroma formation. The pedicles providing blood supply to the nipple-areolar complex are reliable and are derived from the dermis and glandular breast tissue, thus minimizing nipple-areolar necrosis and hypopigmentation as a complication of the procedure. A periareolar incision provides adequate exposure for safe dissection and excision of the breast tissue, and facilitates reduction in the complex if needed. Good to excellent results were reported in all 11 patients at 2 weeks to 13 months of follow-up. There was no evidence of nipple-areolar necrosis and only one case of postoperative seroma formation. This approach utilizes a safe and reliable method of breast reduction that is particularly effective in the male adolescent group.
治疗男性乳房肥大症的方法有很多种。11名青春期男孩采用双蒂技术进行了治疗。对这些患者进行了乳头乳晕活力、瘢痕形成、患者满意度以及血肿或血清肿形成情况的评估。为乳头乳晕复合体提供血液供应的蒂是可靠的，来源于真皮和乳腺组织，从而将乳头乳晕坏死和色素沉着减退作为手术并发症的情况降至最低。乳晕周围切口为安全解剖和切除乳腺组织提供了充分的暴露，并在需要时便于对复合体进行缩小。在随访的2周-13个月期间，所有11例患者均报告了良好至极佳的效果。没有乳头乳晕坏死的迹象，仅1例术后血清肿形成。这种方法采用了一种安全可靠的乳房缩小方法，在男性青少年群体中特别有效。
