Trans-axillary approach for breast implant exchange in high risk cases of irradiated or attenuated skin.
Identifieur interne : 001201 ( PubMed/Checkpoint ); précédent : 001200; suivant : 001202Trans-axillary approach for breast implant exchange in high risk cases of irradiated or attenuated skin.
Auteurs : Kyle R. Eberlin [États-Unis] ; Lisa Gfrerer [États-Unis] ; Eric C. Liao [États-Unis]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2014.
Descripteurs français
- KwdFr :
- Ablation de dispositif (), Ablation de dispositif (effets indésirables), Adulte, Adulte d'âge moyen, Expanseurs tissulaires, Femelle, Humains, Implantation de prothèse mammaire (), Implantation de prothèse mammaire (effets indésirables), Implants mammaires, Jeune adulte, Lésions radio-induites (étiologie), Mastectomie, Peau (effets des radiations), Radiothérapie (effets indésirables), Sujet âgé, Tumeurs du sein (), Tumeurs du sein (radiothérapie).
- MESH :
- effets des radiations : Peau.
- effets indésirables : Ablation de dispositif, Implantation de prothèse mammaire, Radiothérapie.
- radiothérapie : Tumeurs du sein.
- étiologie : Lésions radio-induites.
- Ablation de dispositif, Adulte, Adulte d'âge moyen, Expanseurs tissulaires, Femelle, Humains, Implantation de prothèse mammaire, Implants mammaires, Jeune adulte, Mastectomie, Sujet âgé, Tumeurs du sein.
English descriptors
- KwdEn :
- Adult, Aged, Breast Implantation (adverse effects), Breast Implantation (methods), Breast Implants, Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Device Removal (adverse effects), Device Removal (methods), Female, Humans, Mastectomy, Middle Aged, Radiation Injuries (etiology), Radiotherapy (adverse effects), Skin (radiation effects), Tissue Expansion Devices, Young Adult.
- MESH :
- adverse effects : Breast Implantation, Device Removal, Radiotherapy.
- etiology : Radiation Injuries.
- methods : Breast Implantation, Device Removal.
- radiation effects : Skin.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Adult, Aged, Breast Implants, Female, Humans, Mastectomy, Middle Aged, Tissue Expansion Devices, Young Adult.
Abstract
Breast reconstruction with implants after tissue expansion is one of the most common methods of reconstruction. Although this approach is generally reliable, exchange of breast tissue expander for implant through the standard anterior incision presents a challenge in cases with attenuated soft tissue envelope due to radiation, thin anatomy, prior surgery, or combination of the above. We propose that a trans-axillary approach is a safe and alternate approach for implant exchange in the high-risk patients.
DOI: 10.1016/j.bjps.2014.07.019
PubMed: 25127109
Affiliations:
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Eberlin</name><affiliation wicri:level="1"><nlm:affiliation>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School</wicri:regionArea><wicri:noRegion>Harvard Medical School</wicri:noRegion></affiliation></author><author><name sortKey="Gfrerer, Lisa" sort="Gfrerer, Lisa" uniqKey="Gfrerer L" first="Lisa" last="Gfrerer">Lisa Gfrerer</name><affiliation wicri:level="1"><nlm:affiliation>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States; Center for Regenerative Medicine, Harvard Stem Cell Institute, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States; Center for Regenerative Medicine, Harvard Stem Cell Institute</wicri:regionArea><wicri:noRegion>Harvard Stem Cell Institute</wicri:noRegion></affiliation></author><author><name sortKey="Liao, Eric C" sort="Liao, Eric C" uniqKey="Liao E" first="Eric C" last="Liao">Eric C. Liao</name><affiliation wicri:level="1"><nlm:affiliation>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States; Center for Regenerative Medicine, Harvard Stem Cell Institute, United States. Electronic address: cliao@partners.org.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States; Center for Regenerative Medicine, Harvard Stem Cell Institute</wicri:regionArea><wicri:noRegion>Harvard Stem Cell Institute</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Implantation (adverse effects)</term><term>Breast Implantation (methods)</term><term>Breast Implants</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Device Removal (adverse effects)</term><term>Device Removal (methods)</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Radiation Injuries (etiology)</term><term>Radiotherapy (adverse effects)</term><term>Skin (radiation effects)</term><term>Tissue Expansion Devices</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Ablation de dispositif ()</term><term>Ablation de dispositif (effets indésirables)</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Expanseurs tissulaires</term><term>Femelle</term><term>Humains</term><term>Implantation de prothèse mammaire ()</term><term>Implantation de prothèse mammaire (effets indésirables)</term><term>Implants mammaires</term><term>Jeune adulte</term><term>Lésions radio-induites (étiologie)</term><term>Mastectomie</term><term>Peau (effets des radiations)</term><term>Radiothérapie (effets indésirables)</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (radiothérapie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Breast Implantation</term><term>Device Removal</term><term>Radiotherapy</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Peau</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Ablation de dispositif</term><term>Implantation de prothèse mammaire</term><term>Radiothérapie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Radiation Injuries</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Breast Implantation</term><term>Device Removal</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Skin</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lésions radio-induites</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Implants</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Tissue Expansion Devices</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Ablation de dispositif</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Expanseurs tissulaires</term><term>Femelle</term><term>Humains</term><term>Implantation de prothèse mammaire</term><term>Implants mammaires</term><term>Jeune adulte</term><term>Mastectomie</term><term>Sujet âgé</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast reconstruction with implants after tissue expansion is one of the most common methods of reconstruction. Although this approach is generally reliable, exchange of breast tissue expander for implant through the standard anterior incision presents a challenge in cases with attenuated soft tissue envelope due to radiation, thin anatomy, prior surgery, or combination of the above. We propose that a trans-axillary approach is a safe and alternate approach for implant exchange in the high-risk patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25127109</PMID><DateCreated><Year>2014</Year><Month>12</Month><Day>03</Day></DateCreated><DateCompleted><Year>2015</Year><Month>01</Month><Day>30</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-0539</ISSN><JournalIssue CitedMedium="Internet"><Volume>67</Volume><Issue>12</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>Trans-axillary approach for breast implant exchange in high risk cases of irradiated or attenuated skin.</ArticleTitle><Pagination><MedlinePgn>1624-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2014.07.019</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1748-6815(14)00391-X</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Breast reconstruction with implants after tissue expansion is one of the most common methods of reconstruction. Although this approach is generally reliable, exchange of breast tissue expander for implant through the standard anterior incision presents a challenge in cases with attenuated soft tissue envelope due to radiation, thin anatomy, prior surgery, or combination of the above. We propose that a trans-axillary approach is a safe and alternate approach for implant exchange in the high-risk patients.</AbstractText><AbstractText Label="TECHNIQUE AND CASE EXAMPLES" NlmCategory="UNASSIGNED">A case series of 16 patients with multiple risk factors for compromised soft tissue that underwent a trans-axillary approach for implant exchange is reported. The trans-axillary implant exchange technique involves use of a standard 4 cm axillary incision, removal of the expander, judicious capsulotomy, placement of permanent implant, and closure in three separate tissue layers.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">All trans-axillary cases were successful and all incisions were well healed without dehiscence, infection, or seroma. The average patient age was 49.4 years, and 50% of patients had received or were scheduled to receive radiation therapy. Nine patients underwent unilateral trans-axillary expander exchange while 7 patients were bilateral. Median implant size was 360 cc (mean 369 cc, range 150-600 cc), and mean follow-up for all patients was over 24 months. There were no cases of implant extrusion, capsular contracture requiring re-operation, or lymphedema. Six patients underwent concurrent or subsequent nipple reconstruction.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This approach illustrates application of a technique commonly used in breast aesthetic augmentation to address a common reconstructive dilemma, which we believe to be a useful tool in prosthesis-based breast reconstruction, especially in patients with compromised soft tissue envelopes.</AbstractText><CopyrightInformation>Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Eberlin</LastName><ForeName>Kyle R</ForeName><Initials>KR</Initials><AffiliationInfo><Affiliation>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gfrerer</LastName><ForeName>Lisa</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States; Center for Regenerative Medicine, Harvard Stem Cell Institute, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liao</LastName><ForeName>Eric C</ForeName><Initials>EC</Initials><AffiliationInfo><Affiliation>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, United States; Center for Regenerative Medicine, Harvard Stem Cell Institute, United States. Electronic address: cliao@partners.org.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>07</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Plast Reconstr Aesthet Surg</MedlineTA><NlmUniqueID>101264239</NlmUniqueID><ISSNLinking>1748-6815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019928" MajorTopicYN="N">Breast Implantation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018427" MajorTopicYN="Y">Breast Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020878" MajorTopicYN="N">Device Removal</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011832" MajorTopicYN="N">Radiation Injuries</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011878" MajorTopicYN="N">Radiotherapy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012867" MajorTopicYN="N">Skin</DescriptorName><QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015625" MajorTopicYN="Y">Tissue Expansion Devices</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword><Keyword MajorTopicYN="N">Implant reconstruction</Keyword><Keyword MajorTopicYN="N">Irradiated</Keyword><Keyword MajorTopicYN="N">Post-mastectomy radiation</Keyword><Keyword MajorTopicYN="N">Tissue expander</Keyword><Keyword MajorTopicYN="N">Trans-axillary</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>07</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>05</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25127109</ArticleId><ArticleId IdType="pii">S1748-6815(14)00391-X</ArticleId><ArticleId IdType="doi">10.1016/j.bjps.2014.07.019</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Eberlin, Kyle R" sort="Eberlin, Kyle R" uniqKey="Eberlin K" first="Kyle R" last="Eberlin">Kyle R. Eberlin</name></noRegion><name sortKey="Gfrerer, Lisa" sort="Gfrerer, Lisa" uniqKey="Gfrerer L" first="Lisa" last="Gfrerer">Lisa Gfrerer</name><name sortKey="Liao, Eric C" sort="Liao, Eric C" uniqKey="Liao E" first="Eric C" last="Liao">Eric C. Liao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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