{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T04:26:58Z","timestamp":1727497618025},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[1987,6,1]],"date-time":"1987-06-01T00:00:00Z","timestamp":549504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Forty women presenting with mammillary fistulas over a 6 year period have been reviewed. The events preceding the fistula were incision of a periareolar breast abscess (n = 24), breast biopsy (n = 13) and spontaneous discharge of an inflammatory mass (n = 3). Only two of the women with abscesses were lactating. Two patients had granulomatous mastitis. The remaining 36 patients were all considered to have periductal mastitis\/mammary duct ectasia as the cause of their fistulas. The two mammillary fistulas associated with lactation healed spontaneously. Nine patients had the fistula excised and the wound packed; this resulted in satisfactory healing in all but one patient. Twenty-one patients had excision of the fistula and primary closure, without antibiotic cover, but only ten healed without complications and six patients required further surgical procedures for a recurrent fistula. Six patients had primary excision and closure under antibiotic cover with a penicillin and metronidazole; all healed. Mammillary fistulas are complications of the periductal mastitis\/duct ectasia syndrome. They should be treated by excision and primary closure under appropriate antibiotic cover or alternatively excised and left open to granulate.<\/jats:p>","DOI":"10.1002\/bjs.1800740611","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T09:58:46Z","timestamp":1172915926000},"page":"466-468","source":"Crossref","is-referenced-by-count":32,"title":["Mammillary fistula"],"prefix":"10.1093","volume":"74","author":[{"given":"N J","family":"Bundred","sequence":"first","affiliation":[{"name":"University Department of Clinical Surgery, Royal Infirmary , Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"Dixon","sequence":"additional","affiliation":[{"name":"University Department of Clinical Surgery, Royal Infirmary , Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U","family":"Chetty","sequence":"additional","affiliation":[{"name":"University Department of Clinical Surgery, Royal Infirmary , Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P M","family":"Forrest","sequence":"additional","affiliation":[{"name":"University Department of Clinical Surgery, Royal Infirmary , Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,6,1]]},"reference":[{"key":"2024092719414336200_bib1","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1136\/bmj.2.4954.1473","article-title":"Mammillary fistula","volume":"2","author":"Atkins","year":"1952","journal-title":"Br Med J"},{"key":"2024092719414336200_bib2","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/0002-9610(51)90233-4","article-title":"Fistulas of lactiferous ducts","volume":"81","author":"Zuska","year":"1951","journal-title":"Am J 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abscesses","volume":"1","author":"Leach","year":"1979","journal-title":"Lancet"},{"key":"2024092719414336200_bib11","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1002\/bjs.1800690724","article-title":"The clinical syndrome of mammary duct ectasia","volume":"69","author":"Thomas","year":"1982","journal-title":"Br J Surg"},{"key":"2024092719414336200_bib12","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1002\/bjs.18004720504","article-title":"Excision of the major duct system for benign disease of the breast","volume":"47","author":"Hadfield","year":"1960","journal-title":"Br J Surg"}],"container-title":["Journal of British 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