Objective To introduce a kind of improved operative method for correction of severe inverted nipples. Methods Sixteen patients (aged 2838 years) with 31 inborn inverted nipples were operated with theimproved method from January 2002 to March 2005. The nipple was incised horizontally through the middle, the fibrotic band was released, and the tissue below the nipple was contracted. Then the defective space with mammary glandflap. Finally,a Zshaped suture was employed at each base of nipple. Results The shapes of these nipples were satisfactory. No infection and necrosis of the nipples occurred. The follow-up showed that the results were perfect in thesensory and ejective functions of nipples. All the corrected nipples did not have recurrence except one nipple. The scars in the local site were limited andunconspicuous. Conclusion Severe inverted nipples can be corrected effectively by the combined improved incisions and Z-shaped sutures. This method is suitable for the female patients with no requirment for feeding.
We introduced the current doctor-patient relationship and analyzed its opposition and unification based on present medical practice. We suggested that evidence-based medicine should be an important in improving doctor-patient relationship in clinical practice. We urged health care professionals to learn and apply initiatively evidence-based medicine, so as to improve the patient-professional relationship.