Therapeutic efficacy of wire-assisted dynamic traction with corrective device on congenital nipple inversion with long-term follow-up
10.3760/cma.j.cn114657-20240418-00055
- VernacularTitle:钢丝配合矫正器动态牵引法治疗先天性乳头内陷疗效及远期随访效果
- Author:
Hairu CAO
1
;
Zirong LI
;
Ru ZHAO
;
Lin ZHU
;
Chenyu WANG
;
Xiaojun WANG
Author Information
1. 中国医学科学院 北京协和医院整形外科，北京 100032
- Publication Type:Journal Article
- Keywords:
Inverted nipple;
Congenital;
Wire-corrected traction device;
Postoperative pain;
Nipple microcirculatory disorder;
Breastfeeding
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(4):394-397
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the therapeutic efficacy and long-term outcomes of wire-assisted dynamic traction with corrective device for congenital nipple inversion.Methods:A retrospective study was conducted on 22 female patients (42 nipples) with congenital nipple inversion treated at the Department of Plastic Surgery, Peking Union Medical College Hospital from January to December 2017. The patients′ age was 18-54 (27.6±1.9) years. All patients underwent wire-assisted dynamic traction correction. Postoperative indicators including numerical rating scale (NRS) pain scores, nipple skin microcirculatory disorders, and traction duration were recorded. Follow-up assessments via telephone interviews were completed by September 20, 2022; mean follow-up time was (63.68±3.73) months. Evaluating questions included nipple retraction, fertility status and breastfeeding outcomes.Results:Pain in the operative area was non-radiating, and the pain level decreased over time. Mean NRS were (5.4±1.5) scores on surgery day, decreasing to (4.4±1.2) scores at postoperative day 1 and (3.3±1.7) scores at day 2. Microcirculatory assessments revealed Grade 0-I (intact skin) in 78.6% (33/42), Grade II (skin ulceration) in 14.3% (6/42), and Grade III (partial necrosis) in 7.1% (3/42) of the nipples, with no Grade IV necrosis observed. Successful device placement was achieved in all cases (42/42), with traction duration ranging 6-15 (9.6±0.6) months. Follow-up data from 12 patients (23 nipples) showed mild retraction in 3 nipples. Three patients subsequently delivered infants and successfully achieved breastfeeding.Conclusion:The wire-assisted dynamic traction method with corrective device demonstrates satisfactory therapeutic outcomes for congenital nipple inversion patients with favorable long-term maintenance and breastfeeding compatibility.
