乳头内陷矫正术后乳头坏死的手术治疗:25例系列病例的经验。

IF 1.4 4区 医学 Q3 SURGERY
Annals of Plastic Surgery Pub Date : 2024-08-01 Epub Date: 2024-05-22 DOI:10.1097/SAP.0000000000003966
Fazhi Qi, Feng Zhang, Yong Zhang, Ricardo Torres-Guzman, Sara C Chaker, William Lineaweaver, Jiaqi Liu
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引用次数: 0

摘要

简介约有 10% 的女性会出现乳头内陷的情况,这种情况会对美观和心理造成负面影响。手术矫正是解决这一问题的常用方法,但这种方法可能导致乳头坏死等并发症。由于目前还没有关于术后乳头坏死处理的全面指南,本研究报告了我们在初次尝试手术治疗后处理术后乳头坏死的经验:我们进行了一项回顾性病历审查,纳入了2018年至2021年间乳头内陷矫正术后出现乳头坏死的女性患者。评估了部分坏死后乳头复发回缩的病例和乳头完全坏死的病例。复发性乳头回缩采用各种乳头内陷矫正技术进行处理,而完全坏死则需要采用改良C-V皮瓣进行乳头重建:结果:共纳入 25 例患者,42 个受影响乳头。13例患者(26个乳头)在部分坏死后出现乳头复缩,12例患者(16个乳头)出现乳头完全坏死。没有发现这些并发症的重要预测变量。值得注意的是,所有患者都在单阶段手术修复后成功痊愈。术后 6 个月,接受治疗的乳头在愈合和外观上都令人满意,没有出现感染或乳头坏死。与内陷乳头矫正组的 2 个乳头相比,重建后的 7 个乳头显示出平均投影损失(2.7 ± 0.98):区分乳头部分坏死后的复发性乳头回缩和乳头完全坏死至关重要,在管理乳头内陷矫正患者时应加以考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Management of Postoperative Nipple Necrosis After Inverted Nipple Correction: Experiences From a Series of 25 Cases.

Introduction: The inverted nipple is a condition that affects approximately 10% of women and can have negative cosmetic and psychological implications. Surgical correction is a common approach to address this concern; however, this method can lead to complications, such as nipple necrosis. As comprehensive guidelines are currently lacking for postoperative nipple necrosis management, this study reports our experience in the management of postoperative nipple necrosis following initial attempt at surgical management.

Methods: A retrospective chart review was conducted and included female patients who experienced postoperative nipple necrosis after inverted nipple correction between 2018 and 2021. Cases of recurrent nipple retraction following partial necrosis and cases of complete nipple necrosis were evaluated. Recurrent nipple retraction was managed using various inverted nipple correction techniques, while complete necrosis required a modified C-V flap for nipple reconstruction.

Results: A total of 25 patients with a total of 42 affected nipples were included. Thirteen cases (26 nipples) experienced recurrent nipple retraction following partial necrosis, while 12 cases (16 nipples) exhibited complete necrosis. No significant predictive variables for these complications were found. Notably, all patients achieved successful healing following single-stage surgical repair. At 6 months postoperation, the treated nipples exhibited satisfactory healing and appearance and an absence of infection or papillary necrosis. Seven reconstructed nipples showed a mean loss of projection (2.7 ± 0.98) compared with only 2 nipples in the inverted nipple correction group.

Conclusions: Distinguishing between recurrent nipple retraction after partial necrosis and complete nipple necrosis is crucial and should be taken into consideration when managing patients following inverted nipple correction.

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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
584
审稿时长
6 months
期刊介绍: The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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