舌形瓣法乳头男性化手术临床应用体会

目的:探讨女复男易性病患者乳头男性化的舌形瓣法手术治疗效果。方法:在原乳头12点方向及6点方向设计两个蒂在乳头基底部的对称舌形皮瓣,皮瓣蒂部宽约8mm,皮瓣长约6mm,手术切除两舌形瓣之间多余的乳头组织,舌形瓣对应间断缝合,形成新男性化乳头。结果:对78例女复男易性病患者实施了舌形瓣法乳头缩小术,乳头组织瓣血运好,全部成活,新乳头大小约5mm×4 mm,取得男性化的满意效果,无乳头坏死现象。结论:乳头舌形瓣设计灵活、血运可靠,方法易掌握,乳头男性化外观逼真,是女复男易性病及男性乳头肥大患者行乳头缩小美容的良好选择。

Experience of treatment on nipple virilescence using tongue-shaped flap

Objective To investigate the surgical treatment effect of tongue-shaped flap which can be used to nipple virilescence of female-to-male transsexuals. Methods Two symmetric tongue- shaped flaps were designed,which pedicle in the basal part of nipple from 12 point and 6 point in the direction.The flaps were 8mm in width and 6mm in length. Excised extra tissue of nipple between two flaps.New nipple were virilized through interrupted two tongue-shaped flaps. Results This technique has been successfully used to 78 patients with female-to-male transsexual. New nipple had good blood circulation and survived well.The side of new nipple were 5mm ×4mm,and the effect were satisfactory without nipple necrosis. Conclusion Tongue-shaped flap is a good choice for nipple reduction of female-to-male transsexuals and male hypertrophic nipple,which has such advantages as flex design, reliable blood circulation,simple operation and satisfactory appearance of nipple virilescence.