Tissue expansion: further attempts to improve results in breast reconstruction.

Plastic Surgery International
Donald A HudsonSaleigh Adams

Abstract

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 ana...Continue Reading

References

Nov 1, 1990·Plastic and Reconstructive Surgery·S A Slavin, S R Colen
May 1, 1989·Plastic and Reconstructive Surgery·M H BaileyE F Scanlon
Jul 1, 1995·Plastic and Reconstructive Surgery·G G Hallock
Dec 1, 1995·British Journal of Plastic Surgery·A D MandrekasP N Katsantoni
Mar 4, 2000·Plastic and Reconstructive Surgery·C D MuntanR D Acland
Feb 15, 2001·Plastic and Reconstructive Surgery·S L Spear, C J Spittler
Jun 5, 2002·Plastic and Reconstructive Surgery·Roger E De Filippo, Anthony Atala
Jul 2, 2003·Plastic and Reconstructive Surgery·Michael R Zenn
Dec 17, 2003·Annals of Plastic Surgery·Donald A Hudson
Jul 16, 2004·Plastic and Reconstructive Surgery·Scott L Spear, Christopher V Pelletiere
Aug 18, 2005·Annals of Plastic Surgery·Karl H Breuing, Stephen M Warren

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