|
|
Surgical treatment of recurring subareolar abscess using plastic techniques |
TANG Xin, WANG Gangyue |
Department of Breast Surgery,Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing100026,China |
|
|
Abstract Objective To evaluate the application of plastic techniques in surgical treatment of patients with recurring subareolar abscess.Methods We retrospectively analyzed the clinical data of 39 patients with recurring subareolar abscess who underwent surgical treatment from May 2011 to July 2013.Our treatment combined resection of the fistula, the terminal mammary ducts, and mammary gland involved in the inflammatory process. This was associated with glandular remodeling,correction of the inverted nipple and rebuilding of nipple areolar complex. Results The operations were successful and excellent cosmetic results were obtained in all cases.No local recurrence was found during the followup of 11-37 months (medium 23.6 months).Conclusions Our technique is simple and feasible and the results are encouraging. It can be used regardless of the location of the fistula around the periphery of the nipple-areola complex and it is perfectly suited to the management of unifocal chronic fistulous abscess.
|
Received: 20 September 2014
|
|
|
|
|
[12] |
Li S, Grant C S, Degnim A,et al. Surgical management of recurrent subareolar breast abscesses: mayo clinic experience[J].Am J Surg, 2006,192:528-529.
|
[1] |
颜廷诚,周 华. 乳腺导管瘘29例报告[J].山东医药,2006,46(30):28.
|
[2] |
陈 静,李 威,王宽宇.浆细胞性乳腺炎的中西医诊疗[J]. 医学研究杂志,2014,43(3):146-148.
|
[3] |
Kamal R M, Hamed S T, Salem D S.Classification of inflammatory breast disorders and step by step diagnosis[J]. Breast J,2009,15(4):367-380.
|
[4] |
祝东升,赵立娜,张董晓.中西医结合法治疗浆细胞性乳腺炎153例[J]. 中国临床医生,2007,35(6):36-37.
|
[5] |
Urban J. Excision of the major duct system of the breast[J].Cancer, 1963,16:516-520.
|
[6] |
Hadfield G J. Excision of major duct system for benign disease of the breast[J].Br J Surg,1960,48:472-477.
|
[7] |
Hadfield G J. Further experience of the operation for excision of the major duct system of the breast[J].Br J Surg,1968,55:530-535.
|
[8] |
Hanavadi S, Pereira G, Mansel R E. How mammillary fistulas should be managed[J].Breast J,2005,11:254-256.
|
[9] |
Dixon J M, Thompson A M. Effective treatment for mammary duct fistula[J]. Br J Surg,1991,78:1185-1186.
|
[10] |
Almasad J K. Mammary duct fistulae: classification and management[J]. ANZ J Surg,2006,76:149-152.
|
[11] |
Giacalone P L,Rathat G,Fournet S,et al. Surgical treatment of recurring subareolar abscess using oncoplastic techniques[J].J Visc Surg,2010,147(6):389-394.
|
[12] |
Li S, Grant C S, Degnim A,et al. Surgical management of recurrent subareolar breast abscesses: mayo clinic experience[J].Am J Surg, 2006,192:528-529.
|
[1] |
. [J]. , 2009, 20(09): 837-838. |
|
|
|
|