Bilateral accessory breast tissue of the vulva: a case report introducing a novel labiaplasty technique.
Bilateral accessory breast tissue of the vulva: a case report introducing a novel labiaplasty technique.
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外阴双侧副乳组织：介绍新型阴唇整形术技术的病例报告。
DOI：
10.1097/sap.0b013e31827ead39
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发表时间：
2013
影响因子：
1.5
通讯作者：
Zolnoun,Denniz
中科院分区：
文献类型：
--
作者：
Wagner,IJanelle;Damitz,LynnA;Carey,Erin;Zolnoun,Denniz
方法一位23岁女性，在妊娠中期出现双侧外阴包块，包块累及阴蒂复合体，产后未能消退。我们描述了术前规划和术中的方法和解剖阴唇成形术在这个病人，这是复杂的大小的群众，并专门设计，以避免损伤的感觉支阴蒂背nerve.DiscussionAs阴唇成形术变得越来越普遍，这是重要的方法阴唇成形术患者的阴蒂和周围结构的感觉神经支配的详细了解，以避免神经损伤和由此产生的性功能障碍。传统的阴唇整形术可能会破坏阴蒂区域的感觉神经支配模式，从而导致感觉丧失，影响患者的性功能。我们的新方法术前阴蒂神经感觉映射提供了一种替代的方法，阴唇成形术，可以避免去神经损伤。
MethodsA 23-year-old female presented with bilateral vulvar masses that involved the clitoral complex, which had first become apparent during the second trimester of pregnancy, and failed to resolve in the postpartum period. We describe the preoperative planning and intraoperative approach and dissection to labiaplasty in this patient, which was complex given the size of the masses, and specifically designed to avoid injury to sensory branches of the dorsal clitoral nerve.DiscussionAs labiaplasty becomes more common, it is important to approach labiaplasty patients with a detailed understanding of the sensory innervation of the clitoris and surrounding structures, to avoid nerve injury and resultant sexual dysfunction. Traditional labiaplasty approaches may violate the sensory innervation patterns of the clitoral region, thus causing a sensory loss that affects patient sexual function. Our novel approach to preoperative clitoral nerve sensory mapping provides an alternative method of labiaplasty that may avoid denervation injury.
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