Acellular Dermal Matrix–Assisted Direct-to-Implant Breast Reconstruction and Capsular Contracture
| Autor: | C. Andrew Salzberg, Lisa M. Hunsicker, Colleen Berry, Andrew Y. Ashikari |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Acellular Dermis
medicine.medical_specialty business.industry medicine.medical_treatment Capsular contracture 030230 surgery Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Mammaplasty medicine Cumulative incidence Implant Breast reconstruction business Mastectomy Muscle contracture |
| Zdroj: | Plastic and Reconstructive Surgery. 138:329-337 |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/prs.0000000000002331 |
| Popis: | BACKGROUND Use of acellular dermal matrix for implant-based breast reconstruction appears to be associated with a lower incidence of capsular contracture compared with standard reconstruction. The majority of acellular dermal matrix studies were, however, of short duration; thus, long-term incidence of capsular contracture with acellular dermal matrix use is unknown. METHODS Patients undergoing acellular dermal matrix-assisted breast reconstruction from December of 2001 to May of 2014 at two institutions were evaluated. Cumulative incidence of capsular contracture was determined by the performing surgeon. A retrospective chart review was performed on prospectively gathered data on patient-, breast-, surgery-, and implant-related characteristics that were analyzed as potential risk factors for the development of capsular contracture. RESULTS A total of 1584 breast reconstructions in 863 patients were performed. Mean follow-up of patients was 4.7 years; 45 percent of patients had greater than or equal to 5 years of follow-up. The cumulative incidence of capsular contracture was 0.8 percent. Smaller implant size ( |
| Databáze: | OpenAIRE |
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