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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한미용성형외과학회 Archives of Aesthetic Plastic Surgery Archives of Aesthetic Plastic Surgery Vol.23 No.1
- 발행연도
- 2017.1
- 수록면
- 17 - 23 (7page)
이용수
초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
American Society of Plastic Surgeons / 2015 Plastic surgery statistics report: ASPS national clearinghouse of plastic surgery procedural statistics
Cunningham B / 2007 / The mentor core study on silicone MemoryGel breast implants / Plast Reconstr Surg 120:19S~29S
Mofid MM / 2011 / Acellular dermal matrix in cosmetic breast procedures and capsular contracture / Aesthet Surg J 31:77s~84s
Spear SL / 2006 / The correction of capsular contracture by conversion to “dual-plane” positioning: technique and outcomes / Plast Reconstr Surg 118:103S~113S
Spear SL / 2011 / Acellular dermal matrix for the treatment and prevention of implant-associated breast deformities / Plast Reconstr Surg 127:1047~1058
Cunningham B / 2007 / The mentor core study on silicone MemoryGel breast implants / Plast Reconstr Surg 120:19S~29S
Mofid MM / 2011 / Acellular dermal matrix in cosmetic breast procedures and capsular contracture / Aesthet Surg J 31:77s~84s
Spear SL / 2006 / The correction of capsular contracture by conversion to “dual-plane” positioning: technique and outcomes / Plast Reconstr Surg 118:103S~113S
Spear SL / 2011 / Acellular dermal matrix for the treatment and prevention of implant-associated breast deformities / Plast Reconstr Surg 127:1047~1058
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