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논문 기본 정보

자료유형
학술저널
저자정보
Mioton, Lauren M. (Department of Plastic Surgery, Vanderbilt University School of Medicine) Jordan, Sumanas W. (Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine) Kim, John Y.S. (Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제3호
발행연도
2015.1
수록면
309 - 315 (7page)

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Background Breast projection is a critical element of breast reconstruction aesthetics, but little has been published regarding breast projection as the firm expander is changed to a softer implant. Quantitative data representing this loss in projection may enhance patient education and improve our management of patient expectations. Methods Female patients who were undergoing immediate tissue-expander breast reconstruction with the senior author were enrolled in this prospective study. Three-dimensional camera software was used for all patient photographs and data analysis. Projection was calculated as the distance between the chest wall and the point of maximal projection of the breast form. Values were calculated for final tissue expander expansion and at varying intervals 3, 6, and 12 months after implant placement. Results Fourteen breasts from 12 patients were included in the final analysis. Twelve of the 14 breasts had a loss of projection at three months following the implant placement or beyond. The percentage of projection lost in these 12 breasts ranged from 6.30% to 43.4%, with an average loss of projection of 21.05%. Conclusions This study is the first prospective quantitative analysis of temporal changes in breast projection after expander-implant reconstruction. By prospectively capturing projection data with three-dimensional photographic software, we reveal a loss of projection in this population by three months post-implant exchange. These findings will not only aid in managing patient expectations, but our methodology provides a foundation for future objective studies of the breast form.
#Breast #Breast implants #Esthetics

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참고문헌 (25)

참고문헌 신청
Hirsch EM / 2012 / Outcomes of tissue expander/implant breast reconstruction in the setting of prereconstruction radiation / Plast Reconstr Surg 129:354~361 google schola Mioton LM / 2013 / Comparing thirty-day outcomes in prosthetic and autologous breast reconstruction: a multivariate analysis of 13,082 patients? / J Plast Reconstr Aesthet Surg 66:917~925 google schola Gui GP / 2003 / Immediate breast reconstruction using biodimensional anatomical permanent expander implants: a prospective analysis of outcome and patient satisfaction / Plast Reconstr Surg 111:125~138 google schola Spear SL / 2004 / Immediate breast reconstruction in two stages using textured, integrated-valve tissue expanders and breast implants / Plast Reconstr Surg 113:2098~2103 google schola Eriksen C / 2012 / A prospective randomized study comparing two different expander approaches in implant-based breast reconstruction: one stage versus two stages / Plast Reconstr Surg 130:254e~264e google schola

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