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Correction of Inverted Nipple Using Crossed X-wing Dermal Flaps

利用交叉翼形真皮皮瓣手術作乳頭凹陷之矯正

摘要


乳頭凹陷常會造成在功能上、心理上及美觀上的問題,特別在女性身上。很多女性病人因為乳頭外觀的缺陷並伴隨哺乳的困難而煩惱,而且乳頭凹陷也容易造成發炎。它們可藉由術前評估凹陷的程度以及手術中的確認,而分為三個等級;很多學者提出不同的方法來矯正異常的乳頭,例如:袋狀縫合、乳頭環或真皮皮瓣手術等方法。本篇主旨提供一個改良之真皮皮瓣手術,亦稱為交叉翼形真皮皮瓣手術,作乳頭凹陷之矯正。此方法可提供一個安全、可靠及長期的結果。從2006年5月到2006年8月,總共13位病人接受此方法矯正其第二級至第三級之乳頭凹陷,其中包括12位女性,1位男性。此交叉翼形真皮皮瓣手術可提供一個簡單、可行、復原迅速、低併發症的方式,治療各個等級之乳頭凹陷,並達到對於病人及醫師都滿意的結果。

關鍵字

無資料

並列摘要


Nipple inversion can cause aesthetic, functional and psychological problems, especially for affected woman. Many patients are distressed by nipple appearance and have problems of breastfeeding. Irritation and inflammation are not uncommon by inverted nipple. They were divided into three groups by the system of grading. The grade was made by preoperative evaluation of severity of inversion and was conformed by the surgical finding. Many techniques have been introduced for correction of this anomaly by many authors, such as purse string suture technique, nipple piercing or dermal flap. We develop a new method as a modified dermal flap for correction of nipple inversion with ”X-wing dermal flap” to achieve a sure and long-lasting result. Between May 2006 and August 2006, total 23 nipples of 13 patients received this method to correct Grade Ⅱ to Ⅲ nipple inversion. Male (N=1) and female (N=12) are included in this study. The X-wing dermal flap method provides an easy and reliable procedure with minimal complication, fast recovery and good result for both patient and surgeon.

並列關鍵字

dermal flap inverted nipple

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