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Management of Mastitis, Abscess, and Fistula. | LitMetric

Management of Mastitis, Abscess, and Fistula.

Surg Clin North Am

524 Twelve Oaks, Pike Road, Alabama, AL 36064, USA. Electronic address:

Published: December 2022

AI Article Synopsis

  • Peripheral nonlactational abscesses are similar to other soft tissue abscesses and can be treated effectively with drainage and antibiotics.
  • Subareolar abscesses are prone to recurrence or the formation of fistulae and frequently affect women in their thirties, particularly those who smoke or have a cleft nipple.
  • The root issue for these abscesses is often due to blocked ducts caused by keratin buildup, necessitating surgical removal of the affected ducts and any nipple deformities for successful treatment.

Article Abstract

Peripheral nonlactational abscesses behave like other soft tissue abscesses and resolve with drainage and antibiotics. Subareolar abscesses tend to recur or develop fistulae between obstructed ducts and the border of the areola and are usually seen in women in their thirties who have a history of smoking or a congenitally cleft nipple. The underlying cause of subareolar abscesses and fistulae is the obstruction of terminal ducts due to keratin plugging caused by squamous metaplasia of the ducts. Successful resolution of the problem requires excision of the terminal ducts in and just below the nipple along with the correction of nipple deformity, if present.

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Source
http://dx.doi.org/10.1016/j.suc.2022.06.007DOI Listing

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