CAJ | 학술논문

目的探讨双环法及乳头乳晕内上蒂缩乳术治疗重度男子乳腺发育症的效果.方法双环法设计内外环切口,并去除两环间的内上方部分表皮,形成包含真皮、乳腺及皮下组织的乳头及乳晕蒂,切除两环间其余大部分皮肤、腺体及脂肪组织后,将乳头乳晕蒂部适度内旋并与肌膜固定,外环收拢后与内环对位缝合.结果 9例(18侧),除1例单侧乳头乳晕表层坏死外,其余均Ⅰ期愈合,双侧乳房对称、外形满意.结论利用双环法及乳头乳晕内上蒂缩乳术,可有效治疗重度男子乳腺发育症,内上蒂可确保乳头乳晕血运,并避免后期乳房下垂.
목적 탐토쌍배법급유두유훈내상체축유술치료중도남자유선발육증적효과.방법 쌍배법설계내외배절구,병거제량배간적내상방부분표피,형성포함진피、유선급피하조직적유두급유훈체,절제량배간기여대부분피부、선체급지방조직후,장유두유훈체부괄도내선병여기막고정,외배수롱후여내배대위봉합.결과 9례(18측),제1례단측유두유훈표층배사외,기여균Ⅰ기유합,쌍측유방대칭、외형만의.결론 이용쌍배법급유두유훈내상체축유술,가유효치료중도남자유선발육증,내상체가학보유두유훈혈운,병피면후기유방하수.
Objective To introduce a surgical method for treatment of severe gynecomastia.Methods After designing double rings and ectomizing epidermis between two rings,a supra-medialis derma mammary pedicle of the nipple and areola was formed,most of the gland and fatty tissue was ectomized,the pedicle was fixed with the sarcolemma,and the two rings were sutured together.Resuits There were no severe postoperative complications.Following-up of 9 cases (18 sites) for 6 to 24 months showed symmetrical and satisfactory contour.Conclusions The breast reduction with doublering supra-medialis pedicle can be an effective procedure of severe gynecomastia,in which the supramedialis pedicle can ensure the blood supply of nipple and areola and avoid late mastoptosis.