目的探讨对偶交叉真皮瓣在严重乳头内陷整形中的应用。方法 39侧严重乳头凹陷患者行手术整形,以内陷为中心,设计4个方向的对偶交叉真皮瓣,于乳头下方双向交叉固定,支撑内陷乳头组织。结果本组患者术后乳头均保持良好形态,无复发,未出现感染、血肿、乳头永久麻木以及皮肤坏死等并发症。结论在Ⅲ度乳头内陷的治疗中,对偶交叉真皮瓣提供了两个方向上的立体支撑,复发率低,能获得良好且稳定的疗效。

Objective To explore the technique of double intersecting dermal flap in the treatment of severe inverted nipple.Methods Thirty-nine severe inverted nipples were included in the study.The double intersecting dermal flap was designed in four directions.The flap was pulled out through the tunnel under the nipple to the opposite side and sutured at the areolar dermis of the base of the opposite flap.The cross-fixation was accomplished to support the nipple tissue.Results All nipples manifested satisfactory aesthetic projection with no recurrence.No complications were observed such as: infection,hematoma,permanent numbness and necrosis.Conclusion In the treatment of Grade Ⅲ inverted nipple,the technique of the nipple suspension using the double intersecting dermal flap could provide a strong suspension system with areolar fulcrums in less recurrence rate.