真皮皮下蒂皮瓣环状包绕及牵引乳腺导管矫治重度乳头内陷

目的探讨一种矫治重度乳头内陷，避免其复发的治疗方法。方法在乳头水平方向乳晕内对应设计2个长六边形切口，去表皮后切开外侧4条边形成真皮皮下蒂皮瓣。充分离断挛缩纤维使乳头自然显露．经保留乳腺导管两侧皮下隧道环状包绕填充支撑乳头。牵拉乳头，在乳头基底部水平穿刺7号针头牵引乳腺导管3～5周，避免乳头回缩。结果14例．术后随访3～18个月，切口瘢痕不明佩，外形满意，感觉良好，无复发。2例产后哺乳功能正常。结论方法操作简便，疗效可靠．损伤小，最大限度地保留了哺乳功能，是矫治重度乳头内陷和保留哺乳功能的一种较理想的方法。

Correction of severe inverted nipple with long six-side polygon dermal tissue flaps by purse string surrounded and ductal traction

Objective To explore a new surgical treatment for severe inverted nipple and to reduce the possibility of recurrence. Methods Two opposite long six-side polygon de-epithelialized areas were designed within the range of areola on both sides of the nipple. The four sides in lateral portion were dissected and two wedge-shaped dermal and glandular tissue flaps were created, completely releasing the contractive fiber causing nipple retraction while reserving breast ducts. The flaps were reversed 180 degrees through the tunnel bilateral sides of breast ducts to support the nipple. It was tracted for 3-4 weeks by series 7 needle penetrating the nipple basis. Results All the 14 patients were followed up for 3-18 months, and they were satisfied with the appearance and the aesthesia of the nipple and no recurrence was observed, breast-feed function reserved in 2 cases after childbirth. Conclusions This operation is easy to perform with satisfying aesthetic outcome and breast-feed function remaining.It is an ideal method for correcting serious inverted nipple.