Becker expander implants: Truly a long term single stage reconstruction?

Chew, Ben K.; Yip, Christina; Malyon, Andrew

doi:10.1016/j.bjps.2009.07.004

Cited by 14 publications

(3 citation statements)

References 9 publications

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“…Factors such as the reconstruction method, type of prosthesis, and risk factors for wound healing problems such as obesity, smoking, hypertension, and pre‐ or postoperative radiation therapy influence the chance for BR failure . In particular, postoperative radiation therapy in patients with implant BR increases the complication risk when compared with women with autologous BR .…”

Section: Introductionmentioning

confidence: 99%

The short‐term psychological impact of complications after breast reconstruction

et al. 2011

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Complications after BR have a significant impact on emotional well-being shortly after surgery. As distress affects quality of life and health outcomes, it is of great importance to offer psychological support to these patients. Distress can be evaluated by monitoring the emotional impact of BR during post-surgery consults, or with the standard use of short psychological questionnaires that patients can complete at home.

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Section: Introductionmentioning

confidence: 99%

The short‐term psychological impact of complications after breast reconstruction

et al. 2011

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“…In fact, a recent paper 16 comparing the aesthetic outcome and patient satisfaction between patients who had received the Natrelle 150 implant and Becker 25 implant showed no difference between the 2. 25 This showed an explantation rate of 68% by 5 years. 16 Historically, radiotherapy is associated with poor outcome of breast reconstruction and higher rate of complications.…”

Section: Discussionmentioning

confidence: 91%

Outcome of Single-Stage Breast Reconstruction Using the Natrelle 150 Expander Implant

Teo

Azmy

2014

Annals of Plastic Surgery

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The Natrelle 150 offers the advantage of single-stage reconstruction. However, there is lack of published data on its long term outcomes, which does not allow for definitive conclusions as to whether it truly meets its design objective of a lasting single stage breast reconstruction. This is a retrospective review of all Natrelle 150 reconstructions by a single surgeon over 5 years. A total of 143 procedures were performed in 125 patients with a mean follow-up of 33 months (range, 3-65 months). Most (120, 84%) received the implant after oncological mastectomies, 22 (15%) after risk-reducing mastectomies, and 1 (0.8%) for hypoplasia. Fifty-one (35.7%) implants were explanted an average of 12.9 months after implantation. A Kaplan-Meier survival analysis demonstrates an explantation rate of 25% by 11 months. Explantation was more likely after subpectoral placement compared to reconstructions in combination with latissimus dorsi flaps (P<0.05). Risk-reducing reconstructions were also more likely to undergo explantation (P<0.05) compared to reconstructions for oncological reasons. Our data suggest that this prosthesis is only successful as a 1-stage procedure in certain patients, and has led to more careful patient selection and counseling.

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“…In 107 reconstructed breasts with McGhan 150 expander implants, the authors identified grade III or IV capsular contracture in 26% of cases, with a high rate of extrusion due to local metastasis of the disease. Chew et al 21 performed a study of patients indicated for definitive expander implant reconstruction, with a mean fol low-up period of 12.5 years. They indicated that during a 10-year period, only 9.5% of expander implants were not removed.…”

Section: Location Of Definitive Expander Implant N %mentioning

confidence: 99%

Reconstrução mamária com implante expansor definitivo: experiência pessoal

Oliveira¹

2013

Rev. Bras. Cir. Plást.

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Introduction:With the impossibility of prosthetic implantation with a definitive final volume due to dehiscence and posterior extrusion risks, the development of skin-sparing mastectomy provides an ideal condition for the use of a definitive expander implant. Therefore, this study aimed to demonstrate the use of a definitive expander implant and discuss its indications, cutaneous incision, and safety, as well as its advantages and complications. Methods: Thirty 150 definitive expander implants were used in 27 women who underwent mastectomy between March 1998 and March 2012. Results: Twenty-nine reconstructions were performed immediately after skin-sparing mastectomy and only 1 was performed after a late Halstead mastectomy. The complication rate was low, with seroma being the most frequent (20%), followed by valve dislocation (13.3%), pain in valve location (10%), post-radiotherapy capsular contracture (3.3%), infection (3.3%), and late extrusion (3.3%). No complications such as hematomas, cutaneous incision, and early extrusion were encountered, and none of the cases required surgical repositioning of the expander implant. Conclusions: Despite its high cost, the use of a definitive expander implant may be considered as a potential breast reconstruction modality because it is associated with low complication rates and is easy to use. In our study, the appropriate indications and systematized cutaneous incisions, combined with the various definitive expander implant shapes and volumes, led to the satisfactory aesthetic results of the breast reconstruction in a single surgical stage.

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Becker expander implants: Truly a long term single stage reconstruction?

Cited by 14 publications

References 9 publications

The short‐term psychological impact of complications after breast reconstruction

The short‐term psychological impact of complications after breast reconstruction

Outcome of Single-Stage Breast Reconstruction Using the Natrelle 150 Expander Implant

Reconstrução mamária com implante expansor definitivo: experiência pessoal

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