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Mammillary fistula.

N J Bundred, J M Dixon, U Chetty

    The British Journal of Surgery
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Mammillary fistulas, often caused by periductal mastitis, require surgical treatment. Excision with primary closure under antibiotic cover ensures the best healing outcomes for these breast conditions.

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    Area of Science:

    • Breast Surgery
    • Dermatology
    • Infectious Diseases

    Background:

    • Mammillary fistulas are uncommon but can significantly impact quality of life.
    • They often arise secondary to inflammatory breast conditions.

    Purpose of the Study:

    • To review the etiology and outcomes of surgical management for mammillary fistulas.
    • To evaluate different surgical techniques and their effectiveness.

    Main Methods:

    • Retrospective review of 40 women with mammillary fistulas over six years.
    • Analysis of preceding events, surgical interventions, and healing outcomes.

    Main Results:

    • Periductal mastitis/mammary duct ectasia was the primary cause in 36 patients.

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  • Excision with primary closure under antibiotic cover (penicillin and metronidazole) resulted in 100% healing.
  • Excision and packing had a high success rate, while primary closure without antibiotics led to recurrence in some cases.

    • Conclusions:

    • Mammillary fistulas are typically a complication of periductal mastitis/mammary duct ectasia.
    • Surgical excision with primary closure, supported by appropriate antibiotic therapy, is the recommended treatment approach.