Simple Design for Nipple Reduction of Male Patient

男性乳頭縮小之手術設計

姚文騰(Wen-Teng Yao) ； 黃文成(Wen-Chen Huang)

《臺灣整形外科醫學會雜誌》 23卷4期 (2014/12) Pp. 337-342

摘要

背景：男性乳頭肥大的病例相當稀少，且發生的原因不明。乳頭肥大會影響病人的美觀及造成社交的問題。過去有些許文獻探討乳頭縮小手術，有些方式無法同時減少乳頭高度及直徑，有些手術太複雜。目的及目標：男性的乳頭大小並沒有明確的定義。我們認為合適的大小是直徑5公厘，高度2公厘。我們想設計一個手術方式能夠有效且安全的縮小男性乳頭。材料及方法：在西元2009年1月至2012年1月之間，五個男性病人（3個雙側乳頭肥大，2個單側乳頭肥大，總共8個乳頭）接受手術。我們使用的手術方式保留了乳頭中柱，並以切除三個方位的皮瓣來達到縮小乳頭的目的。結果：術前病患乳頭直徑是介於8公厘到11公厘，乳頭高度是介於6公厘到8公厘之間。術後平均乳頭直徑是5公厘、高度2公厘。沒有皮膚壞死，傷口感染，或乳頭感覺麻痺等併發症發生。結論：我們提供一個簡單有效的手術方式來治療男性乳頭肥大。這個方式可以同時減少乳頭的直徑及高度，而且沒有併發症的產生。

並列摘要

Background: Nipple hypertrophy in male is rare, and the cause of hypertrophy remains unknown. The hypertrophy of nipple causes aesthetic and social problem. Several methods of nipple reduction were proposed in the past. Some methods reduced height only. Others, while capable of reducing both height and diameter, were complicated. Aim and Objectives: There is no definition of male nipple size. We suggest the adequate size of male nipple is 5mm in diameter and 2mm in height. We report a simple design for nipple reduction of male patient. The procedure is safe and easy to perform. Materials and Methods: Between January 2009 and January 2012, we performed nipple reduction with our design on 5 male patients (8 nipples, 3 bilateral and 2 unilateral). A simple design consisted with a central column and three dermal flaps was used. Results: The pre-operative nipple diameter ranged from 8mm to 11mm. Height ranged from 6mm to 8mm. Post-operative nipple diameter averages 5mm and height averages 2mm. No complications such as necrosis, infection, numbness of nipple occurred. Conclusion: We provide a simple design for male patient to reduce nipple hypertrophy in both height and width simultaneously without complications.

並列關鍵字

Male nipple ； Nipple hypertrophy ； Reduction nippleplasty