Tissue Expansion : Further Attempts to Improve Results in Breast Reconstruction
Joint Authors
Adams, Kevin G.
Hudson, Donald A.
Adams, Saleigh
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-05-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Tissue expansion, is a simple method of breast reconstruction.
Method.
A prospective study of 27 patients treated over a 43 month period is described.
At the first stage the expander is inserted in the dual plane, and the medial pectoral nerve is divided.
The tissue expander is over-expanded.
Second stage: a de-epithelialized vertical triangle is used to aid anterior projection, an inframammary fold is created and a silicone gel prosthesis inserted.
Z-plasties are added to the transverse scar.
The contralateral breast can be treated or left alone.
Complications were recorded and the results were assessed by 4 plastic surgeons using a visual analogue scale.
Results.
19 patients had expanders inserted at mastectomy (2 bilateral) and 8 underwent delayed reconstruction, with a mean age of 47 years (range 30–65 years).
A single prosthesis was inserted in 15 patients (mean size 320 mL) and two prosthesis were stacked in 12 patients (mean volume of 400 mL).
The mean delay from full expansion to the second stage was 10 weeks (range 3 weeks–11 months).
A contralateral augmentation was performed in 5 patients, pexy in 10, a reduction in 2 and in 8 patients no procedure was performed.
One patient required explantation.
The mean visual analogue assessment was 7.
Conclusion.
This technique should be considered enhance the cosmetic results in tissue expansion.
American Psychological Association (APA)
Hudson, Donald A.& Adams, Kevin G.& Adams, Saleigh. 2011. Tissue Expansion : Further Attempts to Improve Results in Breast Reconstruction. Plastic Surgery International،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-510936
Modern Language Association (MLA)
Hudson, Donald A.…[et al.]. Tissue Expansion : Further Attempts to Improve Results in Breast Reconstruction. Plastic Surgery International No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-510936
American Medical Association (AMA)
Hudson, Donald A.& Adams, Kevin G.& Adams, Saleigh. Tissue Expansion : Further Attempts to Improve Results in Breast Reconstruction. Plastic Surgery International. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-510936
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510936