The impact of Breast Implant-Associated Anaplastic Large Cell Lymphoma on breast implant surgery: A European survey-based study.

Autor: Santanellidi Pompeo F; Faculty of Medicine and Psychology, Sapienza University of Rome, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy. Electronic address: fabio.santanelli@uniroma1.it., Firmani G; Faculty of Medicine and Psychology, Sapienza University of Rome, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy., Tornambene R; Department of Human Pathology, Division and Residency Program in Plastic, Reconstructive and Aesthetic Surgery, University of Messina, Via Consolare Valeria, 1, 98124 Messina, Italy., Marrella D; Department of Human Pathology, Division and Residency Program in Plastic, Reconstructive and Aesthetic Surgery, University of Messina, Via Consolare Valeria, 1, 98124 Messina, Italy., Mareş T; Faculty of Medicine and Psychology, Sapienza University of Rome, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy; 'Carol Davila' University of Medicine and Pharmacy, Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Emergency Clinical Hospital Prof. Agripa Ionescu, Bucharest, Romania., Sorotos M; Faculty of Medicine and Psychology, Sapienza University of Rome, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2024 Nov 16; Vol. 100, pp. 219-230. Date of Electronic Publication: 2024 Nov 16.
DOI: 10.1016/j.bjps.2024.11.018
Abstrakt: Background: Over the 27 years following the first report of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), significant changes have been made in breast implant surgery trends. This study aimed to determine breast implant selection changes among European plastic surgeons.
Methods: The European Association of Plastic Surgeons (EURAPS) promoted a digital survey to 31 national plastic surgery societies across Europe, which spread it to their members. The survey included 37 questions covering demographics, BIA-ALCL perception, current clinical practices, implant selection considerations, and satisfaction with information from health authorities and scientific societies. Anonymous responses were collected from February to April 2024.
Results: A total of 904 surgeons from 33 countries participated, 41.5% reported that BIA-ALCL concerns affected patient decisions. Awareness of BIA-ALCL was high (97.2%), with more than 85% approving the quality of information from European scientific societies. The awareness influenced implant texture preferences in both aesthetic and reconstructive breast surgery (p<0.001), in the first with a notable drop in the use of macrotextured implants from 32.6% to 1.8%, while the use of smooth implants (ISO 14607:2018) increased from 11.3% to 44.6%. Similar trends were observed in reconstructive surgery regarding implant texture, but 33.1% of surgeons considered performing autologous reconstruction more often than using implants. Surgeons who encountered BIA-ALCL were more prone to using smooth implants. The recognized causal relationship between implant texture and BIA-ALCL is the main explanation to these changes.
Conclusion: Efforts in BIA-ALCL education have heightened surgeons' awareness, improved patient communication, and influenced clinical practices toward safer choices.
(Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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