Evolving Approaches to Tissue Expander Design and Application

Morrison, Kerry A.; Ascherman, Benjamin; Ascherman, Jeffrey A.

doi:10.1097/prs.0000000000003948

Cited by 20 publications

(11 citation statements)

References 48 publications

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“…Then, in 1982, Radovan presented his experience of using the temporary tissue expander for breast reconstruction ( 2 ). McGhan Medical (Allergan) produced a tissue expander in different sizes, which allowed for the preferential expansion of the lower pole of the breast to reconstruct a natural-looking breast ( 40 , 41 ). The application of ADM for the breast was first introduced in 2005 ( 17 ), and 2 years later, Widgerow developed a tissue expander with an external infusion pump controlled by patients ( 42 ).…”

Section: Discussionmentioning

confidence: 99%

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Tissue expansion techniques in reconstructive surgery: a 10-year bibliometric analysis

Wu¹,

Chen²,

Gao³

et al. 2023

Ann Transl Med

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Background Tissue expansion (TE) has attracted significant attention from researchers over the past decade. However, there are currently no bibliometric analyses in this field. We aimed to quantitatively and visually analyze the literature to explore the hotspots and frontiers in TE research. Methods We extracted all the documents on this topic published from the Web of Science Core Citation (WOSCC) database between 2012 and 2021. CiteSpace (version 5.8 R3) and VOSviewer (version 1.6.18) were used to perform the visualization analysis. Results A total of 1,085 documents were included in the analysis. The publication trend fluctuated over time. The United States led the research, and Harvard University was the most productive institution. Plastic and Reconstructive Surgery published the largest number of documents and had the most citations. Kim JYS was the most prolific and most cited author. The high-frequency keywords were “complications”, “breast reconstruction”, “outcomes”, “tissue expander”, “mastectomy”, and “acellular dermal matrix” (ADM). “Surgical site infection”, “tissue expander/implant”, “bilateral prophylactic mastectomy”, and “activated controlled expansion” were the keywords with the strongest citation bursts until 2021. Conclusions This study provided a complete analysis of the research on TE. The effect of ADM on the complication rates after breast reconstruction is the current hotspot of TE research in surgery. Patient-activated controlled expansion might be a promising future research direction for TE.

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Section: Discussionmentioning

confidence: 99%

“…a natural-looking breast(40,41). The application of ADM for the breast was first introduced in 2005 (17), and 2 years later, Widgerow developed a tissue expander with an external infusion pump controlled by patients(42).…”

mentioning

confidence: 99%

Tissue expansion techniques in reconstructive surgery: a 10-year bibliometric analysis

Wu¹,

Chen²,

Gao³

et al. 2023

Ann Transl Med

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“…The temporary use of tissue expanders to reduce the number of operations may be employed. Self‐filling tissue expanders and other types of needle‐free expanders can avoid the repeated painful filling 80 . However, there are certain drawbacks associated with the surgical approach, such as short‐term discomfort with limitation of physical activity, risk of wound infection, risk of anaesthetic complications, risk of poor wound healing, restriction of mobility due to scarring, pain and pruritus as well as psychological impairment due to lifelong scars 15 .…”

Section: Treatment Options In Congenital Melanocytic Naevimentioning

confidence: 99%

Congenital melanocytic naevi: An up‐to‐date overview

et al. 2021

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Congenital melanocytic naevi are hamartomas of the neuroectoderm caused by genetic mosaicism. Congenital melanocytic naevi are seen in 1-6% of all live births and commonly classified based on the projected size in adults. Congenital melanocytic naevi appear in different colours, shapes, and sizes, and occasionally present with complications. In this review, we sought to evaluate congenital melanocytic naevi, their clinical, dermatoscopic, and reflectance confocal microscopic features, behavioural pattern over time, new trends in classification, underlying genetic factors and their influence on clinical manifestations and management, associated risks, complications, magnetic resonance imaging findings and their management in the light of recent literature.

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“…This mechanism allowed for a maximum of three expansions each day. The surgeons can execute additional volume expansion beyond the labelled limits on needs [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis

2022

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Background Breast reconstruction can improve the quality of patients' lives by restoring the breasts' natural appearance. Saline-based tissue expanders are associated with significant drawbacks. The current systematic review and meta-analysis aimed to reveal the usability, safety, and economic burden of AeroForm-based tissue expanders for breast reconstruction. Methods An extensive systematic literature review was implemented from inception to 9 December 2021. All clinical studies that included women with breast cancer subjected to AeroForm-based tissue expansion for breast reconstruction were included in the study. Results This systematic review included eleven articles consisting of 748 patients. There were 1220 reconstructed breasts in which 530 (43.44%) breasts were reconstructed using AeroForm devices. AeroForm-based tissue expanders were associated with shorter duration to complete breast expansion (MD-35.22; 95% -46.65, -23.78;P<0.001) and complete reconstruction (MD-30.511; 95% -54.659, -6.636;P=0.013). The overall satisfaction rate of the aesthetic results of the AeroForm expanders was 81.4% (95%CI; 60.3% to 92.6%,P=0.006) and 64.6% (95%CI; 53.8% to 74%,P=0.008) for patients and surgeons. Patients subjected to saline-based breast reconstruction were 1.17 times at high risk to develop breast-related adverse events (RR1.17; 95% 0.86, 1.58; P=0.31). This includes a high risk of mastectomy flap necrosis (RR1.91; 95% 1.03, 3.55;P=0.04) and post-operative wound infection (RR 1.63; 95% 0.91, 2.91;P=0.1). Conclusion AeroForm-based tissue expanders represent a new era of breast reconstruction. These devices provided an earlier transition to exchange for the permanent implant with a convenient and comfortable expansion process. This was associated with a high satisfaction rate for patients and surgeons. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Evolving Approaches to Tissue Expander Design and Application

Cited by 20 publications

References 48 publications

Tissue expansion techniques in reconstructive surgery: a 10-year bibliometric analysis

Tissue expansion techniques in reconstructive surgery: a 10-year bibliometric analysis

Congenital melanocytic naevi: An up‐to‐date overview

The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis

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