The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap
Background Capsular contracture is the most frequently reported complication after implant-based breast reconstruction. This study was first undertaken to present our experience with acellular dermal matrix for prevention of capsular contracture in implant-based immediate breast reconstruction with...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2017-02-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-23-17.pdf |
| _version_ | 1818893779770277888 |
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| author | Yu Gil Park Eun Soo Park Jin Su Shin Ho Seong Shin Seung Min Nam |
| author_facet | Yu Gil Park Eun Soo Park Jin Su Shin Ho Seong Shin Seung Min Nam |
| author_sort | Yu Gil Park |
| collection | DOAJ |
| description | Background Capsular contracture is the most frequently reported complication after implant-based breast reconstruction. This study was first undertaken to present our experience with acellular dermal matrix for prevention of capsular contracture in implant-based immediate breast reconstruction with latissimus dorsi flap, and to assess the final aesthetic outcome. Methods We performed a retrospective review of all patients who underwent immediate latissimus dorsi flap breast reconstruction in combination with implant and acellular dermal matrix from January 2014 to December 2015. Demographics and clinical characteristics and postoperative complications, especially focused on capsular contracture, were assessed. They were also analyzed as the potential risk factors for the development of capsular contracture. The aesthetic outcome of the overall reconstruction and the final outcome of the inframammary fold were evaluated. Results During the study period, a total of 30 patients (30 breasts) were reviewed. The mean Baker grades for all 29 breasts (one breast was dropped out due to implant loss), evaluated at one year after reconstruction, was 1.21±0.49 capsular contracture. None of risk factors except seroma/hematoma (P=0.033) were significantly associated with the development of capsular contracture. Overall aesthetic outcome was 8.2±1.2 and aesthetic outcome of the inframammary fold was 3.5±0.6 for physician and 3.4±0.6 for patients. Conclusions In this study, we have shown the ability of acellular dermal matrix to prevent capsular contracture observed in implant-based immediate breast reconstruction with latissimus dorsi flap and its use was proven to create superior aesthetic results. |
| first_indexed | 2024-12-19T18:18:02Z |
| format | Article |
| id | doaj.art-c93c57d5c1544f7a978d360293db9788 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-12-19T18:18:02Z |
| publishDate | 2017-02-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-c93c57d5c1544f7a978d360293db97882022-12-21T20:11:03ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372017-02-01231172310.14730/aaps.2017.23.1.1751The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi FlapYu Gil Park0Eun Soo ParkJin Su Shin1Ho Seong Shin2Seung Min Nam3 Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Bucheon, KoreaBackground Capsular contracture is the most frequently reported complication after implant-based breast reconstruction. This study was first undertaken to present our experience with acellular dermal matrix for prevention of capsular contracture in implant-based immediate breast reconstruction with latissimus dorsi flap, and to assess the final aesthetic outcome. Methods We performed a retrospective review of all patients who underwent immediate latissimus dorsi flap breast reconstruction in combination with implant and acellular dermal matrix from January 2014 to December 2015. Demographics and clinical characteristics and postoperative complications, especially focused on capsular contracture, were assessed. They were also analyzed as the potential risk factors for the development of capsular contracture. The aesthetic outcome of the overall reconstruction and the final outcome of the inframammary fold were evaluated. Results During the study period, a total of 30 patients (30 breasts) were reviewed. The mean Baker grades for all 29 breasts (one breast was dropped out due to implant loss), evaluated at one year after reconstruction, was 1.21±0.49 capsular contracture. None of risk factors except seroma/hematoma (P=0.033) were significantly associated with the development of capsular contracture. Overall aesthetic outcome was 8.2±1.2 and aesthetic outcome of the inframammary fold was 3.5±0.6 for physician and 3.4±0.6 for patients. Conclusions In this study, we have shown the ability of acellular dermal matrix to prevent capsular contracture observed in implant-based immediate breast reconstruction with latissimus dorsi flap and its use was proven to create superior aesthetic results.http://e-aaps.org/upload/pdf/aaps-23-17.pdfacellular dermisbreast implantsmammaplastysurgical flaps |
| spellingShingle | Yu Gil Park Eun Soo Park Jin Su Shin Ho Seong Shin Seung Min Nam The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap Archives of Aesthetic Plastic Surgery acellular dermis breast implants mammaplasty surgical flaps |
| title | The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap |
| title_full | The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap |
| title_fullStr | The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap |
| title_full_unstemmed | The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap |
| title_short | The Effect of Acellular Dermal Matrix in Implant-Based Immediate Breast Reconstruction with Latissimus Dorsi Flap |
| title_sort | effect of acellular dermal matrix in implant based immediate breast reconstruction with latissimus dorsi flap |
| topic | acellular dermis breast implants mammaplasty surgical flaps |
| url | http://e-aaps.org/upload/pdf/aaps-23-17.pdf |
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