CAJ | 학술논문

目的探讨内上方真皮腺体蒂乳房成形术对乳房肥大及乳房假体、聚丙烯酰胺水凝胶取出后的乳房畸形进行修复的疗效.方法对36例乳房肥大及乳房假体、聚丙烯酰胺水凝胶取出后乳房畸形的患者,行携带或不携带Würinger乳房水平中隔内上方真皮腺体蒂乳房成形术修复.结果 36例患者,术后胸骨上凹至乳头距离为(20.10±1.94) cm,平均上提乳头7.5 cm (4～13 cm),并且均未出现血肿及乳头、乳晕复合体坏死等并发症.2例发生小段切口裂开(发生率为5.56％),其余均为Ⅰ期愈合.28例获随访6～18个月,乳头、乳晕感觉良好,切口瘢痕不明显,乳房外形满意.结论应用内上方真皮腺体蒂术式可使乳房得到良好的塑形,同时又能充分保留乳头、乳晕复合体的血运及感觉功能,疗效满意.
목적 탐토내상방진피선체체유방성형술대유방비대급유방가체、취병희선알수응효취출후적유방기형진행수복적료효.방법 대36례유방비대급유방가체、취병희선알수응효취출후유방기형적환자,행휴대혹불휴대Würinger유방수평중격내상방진피선체체유방성형술수복.결과 36례환자,술후흉골상요지유두거리위(20.10±1.94) cm,평균상제유두7.5 cm (4～13 cm),병차균미출현혈종급유두、유훈복합체배사등병발증.2례발생소단절구렬개(발생솔위5.56％),기여균위Ⅰ기유합.28례획수방6～18개월,유두、유훈감각량호,절구반흔불명현,유방외형만의.결론 응용내상방진피선체체술식가사유방득도량호적소형,동시우능충분보류유두、유훈복합체적혈운급감각공능,료효만의.
Objective To investigate the effect of superomedial pedicle mammaplasty in the treatment of the deformity of hypermastia,and secondary deformity after implants or polyacryamide hydrogel removal.Methods Thirty-six patients underwent a new technique for mammaplasty.This technique involved a superomedial pedicle with or without Würinger's horizontal septum which was used to repair the deformity of hypermastia,and secondary deformity after implants or polyacryamide hydrogel removed.Results In our series,the new nipple-to-sternal-notch distance was (20.10±1.94) cm postoperatively.Mean nipple elevation was 7.5 cm (range 4 13 cm),and there were no he matoma and partial or complete nipple-areolar complex (NAC) necrosis occurred.Minimal wound dehiscence occurred in two cases (5.56 ％),the rest cases were healed in stage Ⅰ.Twenty eight patients were followed up for 6 to 18 months.NAC sensibilities were comparable before and after operation,and good breast shapes were produced with unconspicuous incision scar in all cases.Conclusions Superomedial pedicle mammaplasty could achieve satisfactory results with respect to breast contouring and scar,meanwhile maintain the NAC viability and sensibility.