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頁籤選單縮合
題名 | Using the Liposuction in Conjunction with a Shaver Technique to Treat Gynecomastia=利用脂肪抽吸加上電動刮刀來移除男性女乳症 |
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作者 | 陳歷舜; 馮冠明; 鄭勝峯; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 22:1 2013.03[民102.03] |
頁次 | 頁29-35 |
分類號 | 416.414 |
關鍵詞 | 男性女乳症; 抽脂; 電動刮刀; Gynecomastia; Liposuction; Shaver technique; |
語文 | 英文(English) |
中文摘要 | 背景:男性女乳症是雙側乳腺組織增生的正常病變。在手術治療上有許多種的手術方式。而我們是使用抽脂的手術來移除脂肪再加上電動刮刀來移除乳腺組織。目的及目標:我們手術方式使術後有較小的疤痕,較短的手術時間及較少的手術併發症。材料及方法:在三年間我們有十例病患使用抽脂加上電動刮刀的手術來治療男性女乳症。抽脂的傷口在乳下皺折大約0.5公分,而移除的脂肪在120cc至320cc之間,平均199cc。結果:術後兩側胸擴無不對稱及不規則的情況,也沒有長期的併發症。而且病患對於術後的美觀及疤痕還蠻滿意的。結論:我們報告了使用抽脂加上電動刮刀來移除男性女乳症患者的乳腺組織及脂肪組織。而每位病患術後有平坦的胸擴及較小的疤痕。 |
英文摘要 | Background:Gynecomastia is a benign condition in men, characterized by proliferation of glandular elements resulting in a concentric enlargement of one or both breasts. A number of techniques are available for its correction. We use a combination of liposuction of the fatty tissue and a subsequent shaving procedure on the remaining gland.Aim and Objectives:The technique has improved the final outcome with less scarring, good skin retraction, short operative time, minimal complications, and good cosmetic results.Materials and Methods:In a 3 year period, 10 patients age from 17 to 30 averaged 21 years old treated with liposuction in conjunction with a shaver technique. The patients had bilateral gynecomastia grade Simon I to II. Patients received general anesthesia and were positioned supine position with arms abducted for the procedure. A traditional tumescent liposuction removing the fatty tissue was performed ranged from 120cc to 320cc averaged 199cc first from the inframammary incision, 0.5cm. After complete liposuction we removed glandular breast tissue employing the shaver system from the same wound. A hemovaccum drainage was inserted from the wound. Chest compression garment was suggested for 6 to 8 weeks postoperatively.Results:There was a high degree of satisfaction with the procedure, highlighting the good aesthetic result and with a minimal scar. No irregularities or asymmetries were seen in our patients and there were no long-term complications. Two patients experienced hypertrophy scar from the wound. Transient paresthesia of nipple-areolar complex was found.Conclusion:We present a refined method of treatment for gynecomastia that combines traditional liposuction in conjunction with shaver technique to effectively remove the fibrofatty and the glandular tissues of the male breast. Each patient demonstrated a smooth, masculine breast contour with well-concealed scars. |
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