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논문 기본 정보

자료유형
학술저널
저자정보
Lim, Yoon Min (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Park, Kwang Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Lee, Dong Won (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Roh, Tai Suk (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) Song, Seung Yong (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제4호
발행연도
2019.1
수록면
330 - 335 (6page)

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Background The use of anatomic implants has improved the aesthetic results of breast surgery; however, implant malrotation is an uncommon, but serious complication of these procedures. Nevertheless, little research has explored implant adhesion. In this study, we investigated adhesion between the expander and the capsule. Methods Seventy-nine cases of immediate breast reconstruction via two-stage implant-based reconstruction performed between September 2016 and November 2017 were evaluated. Mentor CPX4 expanders were used in 14 breasts, and Natrelle expanders in 65. We analyzed areas of adhesion on the surfaces of the tissue expanders when they were exchanged with permanent implants. We investigated whether adhesions occurred on the cephalic, caudal, anterior, and/or posterior surfaces of the expanders. Results Total adhesion occurred in 18 cases, non-adhesion in 15 cases, and partial adhesion in 46 cases. Of the non-adhesion cases, 80% (n=12) were with Mentor CPX4 expanders, while 94.4% (n=17) of the total adhesion cases were with Natrelle expanders. Of the partial adhesion cases, 90.7% involved the anterior-cephalic surface. The type of tissue expander showed a statistically significant relationship with the number of attachments in both univariate and multivariate logistic regression analyses (P<0.001) and with total drainage only in the univariate analysis (P=0.015). Conclusions We sought to identify the location(s) of adhesion after tissue expander insertion. The texture of the implant was a significant predictor of the success of adhesion, and partial adhesion was common. The anterior-cephalic surface showed the highest adhesion rate. Nevertheless, partial adhesion suffices to prevent unwanted rotation of the expander.
#Mammaplasty #Breast implants #Breast implantation #Rotation #Tissue expansion devices

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참고문헌 (23)

참고문헌 신청
Panettiere P / 2002 / Aesthetic breast reconstruction / Aesthetic Plast Surg 26:429~435 google schola Baeke JL / 2002 / Breast deformity caused by anatomical or teardrop implant rotation / Plast Reconstr Surg 109:2555~2564 google schola Brown MH / 2005 / Cohesive silicone gel breast implants in aesthetic and reconstructive breast surgery / Plast Reconstr Surg 116:768~779 google schola Heden P / 2001 / Breast augmentation with anatomical cohesive gel implants : the world’s largest current experience / Clin Plast Surg 28:531~552 google schola Hahn M / 2009 / Sonographic criteria for the confirmation of implant rotation and the development of an implant-capsule-interaction (“interface”) in anatomically formed textured breast implants with texturised Biocell-surface / Senologie-Zeitschrift für Mammadiagnostik und-therapie 6:48~53 google schola

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