Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model
Introduction:. Breast implants improve quality of life in patients seeking improved breast aesthetics, and are known to minimize human injury in the less common scenario of penetrating trauma. People commonly sustain rib and sternum fractures and thoracic injury in motor vehicle crashes (MVC), a for...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005161 |
| _version_ | 1797770614241492992 |
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| author | Christopher J. Pannucci, MD, MS Chad K. Wheeler, MD Krista M. Cyr, MS Adam J. Cyr, PhD |
| author_facet | Christopher J. Pannucci, MD, MS Chad K. Wheeler, MD Krista M. Cyr, MS Adam J. Cyr, PhD |
| author_sort | Christopher J. Pannucci, MD, MS |
| collection | DOAJ |
| description | Introduction:. Breast implants improve quality of life in patients seeking improved breast aesthetics, and are known to minimize human injury in the less common scenario of penetrating trauma. People commonly sustain rib and sternum fractures and thoracic injury in motor vehicle crashes (MVC), a form of blunt traumatic injury. Whether breast implants minimize injury during MVC is unknown. This study examines the potential protective effect of breast implants in low speed, unrestrained MVC.
Methods:. Control (medical gel) and implant (medical gel with embedded breast implant) blocks were subjected to load approximating a low speed, 10mph MVC (n=12 blocks per group). Colormetric pressure film measured pressure at the neo-chest wall position in response to load, across the gel block base. Maximum pressure and average pressure across the gel block base were compared, by group.
Results:. Presence of an implant significantly decreased, by 22.8%, maximum pressure experienced by the neo-chest wall (333.0 ± 58.7 psi vs 431.6 ± 37.3 psi, p=0.0006). Average pressure experienced by the neo-chest wall across the gel block base was also significantly decreased, by 28.1%, in the implant group (53.4 ± 5.6 psi vs 74.3 ± 15.7 psi, p=0.0017). Subjective analysis of all implant and control blocks supported an overall reduction in pressure for the implant group.
Conclusions:. Presence of a breast implant decreased maximum pressure at the chest wall by 23%, and average pressure by 28%. Patients with breast implants involved in low speed, unrestrained MVC may be less likely to sustain rib and sternum fractures and thoracic injury, when compared to patients without implants. |
| first_indexed | 2024-03-12T21:24:46Z |
| format | Article |
| id | doaj.art-843f6846ff574046910b14f035221b52 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T21:24:46Z |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-843f6846ff574046910b14f035221b522023-07-28T09:29:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-07-01117e516110.1097/GOX.0000000000005161202307000-00049Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental ModelChristopher J. Pannucci, MD, MS0Chad K. Wheeler, MD1Krista M. Cyr, MS2Adam J. Cyr, PhD3From the * Plastic Surgery Northwest Spokane, Wash.From the * Plastic Surgery Northwest Spokane, Wash.† Center for Limb Loss and MoBility (CLiMB), VA Puget Sound Health Care System Seattle, Wash.‡ Mary Bridge Children’s Hospital, Seattle, Wash.Introduction:. Breast implants improve quality of life in patients seeking improved breast aesthetics, and are known to minimize human injury in the less common scenario of penetrating trauma. People commonly sustain rib and sternum fractures and thoracic injury in motor vehicle crashes (MVC), a form of blunt traumatic injury. Whether breast implants minimize injury during MVC is unknown. This study examines the potential protective effect of breast implants in low speed, unrestrained MVC. Methods:. Control (medical gel) and implant (medical gel with embedded breast implant) blocks were subjected to load approximating a low speed, 10mph MVC (n=12 blocks per group). Colormetric pressure film measured pressure at the neo-chest wall position in response to load, across the gel block base. Maximum pressure and average pressure across the gel block base were compared, by group. Results:. Presence of an implant significantly decreased, by 22.8%, maximum pressure experienced by the neo-chest wall (333.0 ± 58.7 psi vs 431.6 ± 37.3 psi, p=0.0006). Average pressure experienced by the neo-chest wall across the gel block base was also significantly decreased, by 28.1%, in the implant group (53.4 ± 5.6 psi vs 74.3 ± 15.7 psi, p=0.0017). Subjective analysis of all implant and control blocks supported an overall reduction in pressure for the implant group. Conclusions:. Presence of a breast implant decreased maximum pressure at the chest wall by 23%, and average pressure by 28%. Patients with breast implants involved in low speed, unrestrained MVC may be less likely to sustain rib and sternum fractures and thoracic injury, when compared to patients without implants.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005161 |
| spellingShingle | Christopher J. Pannucci, MD, MS Chad K. Wheeler, MD Krista M. Cyr, MS Adam J. Cyr, PhD Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model Plastic and Reconstructive Surgery, Global Open |
| title | Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model |
| title_full | Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model |
| title_fullStr | Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model |
| title_full_unstemmed | Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model |
| title_short | Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model |
| title_sort | breast implants decrease chest wall trauma in low speed unrestrained motor vehicle crash an experimental model |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005161 |
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