By Richard E. Baxter
Topics contain: Defining the problem/proof of suggestion; The reconstructive version; Do ADM's switch the explanation for instant vs. delayed?; Direct to implant reconstruction; Capsular contracture and ADM's; Pocket reinforcement/bottoming out; ADM's within the irradiated breast; rising purposes; comparability of alternative ADM fabrics; information and pearls; fiscal concerns
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Additional resources for Acellular Dermal Matrices in Breast Surgery, an Issue of Clinics in Plastic Surgery
Concerns about complications focused initially on the implants and led to improved design such as the use of a barrier layer to minimize gel bleed, more cohesive silicone gels, and greater variety of profiles for better matching of implant dimensions to each patient’s anatomy. These improvements led to a more favorable attitude about breast implant safety. 8 However, certain problems inherent to breast implant surgery are inevitably magnified with the increase in the numbers of women undergoing implant surgery and a larger pool of long-term implant recipients.
Baxter, MD * Private Practice, Seattle, WA, USA * 6100 219th Street SW, Suite 290, Mountlake Terrace, WA 98043. com Abstract The use of acellular dermal matrices (ADMs) has become a useful adjunct to implant-based breast reconstruction and revision of the augmented breast. In both instances, the goal is replacement or reinforcement of thinned or missing tissues for implant support and control of the implant pocket. This article reviews the factors that contribute to periprosthetic tissue thinning, and the advantages and limitations of the use of ADMs for revision breast surgery and breast reconstruction.
K. Breuing, A. Colwell. Inferolateral AlloDerm hammock for implant coverage in breast reconstruction. Ann Plast Surg. 2007;59(3):250-255. 13. L. M. Parikh, E. Reisin, et al. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008;32(3):418-425. 14. C. Derderian, N. Karp, M. Choi, et al. Wise-pattern breast reconstruction: modification using AlloDerm and a vascularized dermal-subcutaneous pedicle. Ann Plast Surg. 2009;62(5):528-532. 15. L. Jansen, S. Macadam. The use of Alloderm in postmastectomy alloplastic breast reconstruction: part II.
Acellular Dermal Matrices in Breast Surgery, an Issue of Clinics in Plastic Surgery by Richard E. Baxter