頁籤選單縮合
題 名 | Vertical Reduction Mammaplasty Experience Using the Lejour Method=垂直縮乳術--以Lejour's垂直縮乳術之經驗探討 |
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作 者 | 楊振; 趙英豪; 方嘉良; 許文明; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 8:1 1999.03[民88.03] |
頁 次 | 頁25-33 |
分類號 | 416.414 |
關鍵詞 | 垂直縮乳術; Vertical reduction mammaplasty; Breast hypertrophy; |
語 文 | 英文(English) |
中文摘要 | 從一九九五年以來,奇美醫院有二例的經驗來自Lejour's垂直縮乳術,此方法的特色為它有簡單靈活自主的設計,乳頭及乳暈存活移位是靠上方皮瓣供給,在小範圍皮膚潛分之下將中間下三分之二的乳房切除。其達到乳房外型的塑造,主要是靠將乳房本身強力縫合,而非僅靠傳統的皮膚縫合。想要利用此方式得到完好的結果,從技術層面考量以下幾點必須要確實執行:1.術前仔細的設計,(尤其是每切除三百公克的乳房組織乳頭須向下降一公分。2.兩側乳房組織切除要稍微向外超過其上的皮辦3.適時適度的脂肪抽吸4.下部兩側皮瓣要切薄至0.5公分且直達乳溝5.穿戴緊身合適的胸罩至少兩個月之久。我們四例皮膚 彈性佳且每一乳房組織切除少於 500 公克者皆得到良好外觀結果。兩例於一年後須要修飾較肥厚疤痕。垂直縮乳術似乎較優於“倒T字型縮乳術”。因為此手術方式使用簡單,長期效果好,沒有橫向的乳溝疤痕,較可以塑造出較自然的乳房。 |
英文摘要 | We report our experience using the vertical reuction mammaplasty technique (Legour method) for hypertrophic breasts in five patients since July 1995. This technique uses adjustable marking, an upper pedicle for the areola, and around two thirds low central breast reduction with limited skin undermining. The shape of the breast is created by suturing the gland and does not rely on the skin. To achieve good results with this technique, several points should be emphasized: 1) Careful preoperative design, especially with the nipple displaced 1 cm downward for each 300 gm of breast tissue resected; 2) resect a little more breast tissue beyond the overlyng skin flaps bilaterally; 3) liposuction is used whenever feasible, 4) the skin flaps should be thinned to 0.5 cm in thickness and down to the submammary fold, 5) the appropriate brassiere should be worn for at least 2 months. Our four patients with good elastic skin and moderate hypertropgy (each resected breast tissue<500 gm) get good result. Two patients need scar revision one year later. Vertical reduction mammaplasty appears to be a superior technique to inverted "T" reduction mammaplasty because of its simplicity, more reliable long-term results, no obvious submammary transverse scar, and a more natural appearing breast. |
本系統中英文摘要資訊取自各篇刊載內容。