- 期刊
Refinement in Correction of Inverted Nipple
乳頭凹陷矯正方法之改良
摘要
雖然曾有很多乳頭凹陷矯正的方法被報告過，但還是存有許多爭論。我們查閱了相關文獻發現這種情況主要源於四個解剖學上的缺陷。第一，乳頭凹陷來自於乳頭下緻密結締組織之缺乏。第二，乳頭被發育不全的乳管牽繫而下陷。第三，乳頭被其基部膠原纖維所撒縮。第四，將乳頭基部環狀平滑肌縮短可產生類似乳頭勃起之效果。基於這些解剖上之發現，我們做了一些改良並發明了一種新的乳頭凹陷矯正的方法。用這種矩形真皮皮瓣的方法，不但可以獲致更堅韌的真皮懸吊及乳頭下緻密結締組織，更可保留乳管及供應乳頭的神經、血管。這個方法是簡單，而且結果也令病人及醫生都滿意。
關鍵字
無資料並列摘要
There were many methods proposed for correction of inverted nipple but many controversies exist. We reviewed the literatures and found this condition resulting from four main anatomical defects. First, an inverted nipple may result from deficiency of underlying dense connective tissue. Second, it is tethered by the hypoplastic lactiferous ducts. Third, it is retracted by the collagen fiber at the nipple base. Fourth is shortening of the circular smooth muscle mimics the effect of erection. Based on these defects, we made a technical refinement and devised a new method for correction of inverted nipple. With this rectangular dermal flaps method, more rigid dermal sling and dense connective tissue bulk can be achieved. In addition, we can preserve the lactiferous ducts and neurovascular supply of the nipple. This method is simple and the result is satisfactory both to patient and surgeon.