Abstract:
BACKGROUND:The use of human acellular dermal matrix (HADM) materials in prosthetic-based breast reconstruction has gained popularity in recent years. Questions remain, however, regarding the nature and incidence of postoperative complications associated with this technique. The results reported in the available literature vary widely. This meta-analysis examines this question further with a broad review of the available literature in an effort to better define the true nature and incidence of near-term complications associated with the use of HADM in prosthetic-based breast reconstruction. It does not aim to compare this method of reconstruction to others. METHODS:A review of the available literature was performed in July 2009. The goal was to identify all previous works describing the placement of HADM at prosthetic-based breast reconstruction. Included were studies that documented the use of HADM for coverage of tissue expanders or permanent implants following therapeutic or prophylactic mastectomy. Excluded were studies that reported on the use of HADM in cosmetic breast surgery or studies that included the use of xenografts. Data collected included demographics as well as the nature and incidence of complications, with separate categories assigned for seroma, infection, flap necrosis, and "other." Data were analyzed using Comprehensive Meta-Analysis(®) software (Biostat, Englewood, NJ). Raw proportions, fixed-effect models, and random-effect models were used to assess the complication rates across studies. RESULTS:Eleven published articles and one abstract that was later published as an article were identified. Within these 12 studies, a total of 789 breasts were identified that had undergone reconstruction with HADM. The mean follow-up was 13.7 months. Under the random-effects model, the total complication rate was 12.0%. The most common complications were flap necrosis (3.3%), seroma (3.3%), and infection (5.6%). All complications not included in these categories were set apart in a separate category, "Other," and totaled 3.0% CONCLUSION:The true incidence of postoperative complications in the near term utilizing HADM in prosthetic-based breast reconstruction appears to be approximately 12%. The incidence of long-term complications such as capsular contracture remains unknown. However, as surgical experience with HADM grows, operative techniques designed at reducing risks will mature, strategies for managing complications will advance, and more advanced products designed to reduce the incidence of complications are likely to become available.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Newman MI,Swartz KA,Samson MC,Mahoney CB,Diab Kdoi
10.1007/s00266-010-9631-6subject
Has Abstractpub_date
2011-02-01 00:00:00pages
100-6issue
1eissn
0364-216Xissn
1432-5241journal_volume
35pub_type
杂志文章,meta分析,评审abstract:INTRODUCTION:Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare and recently described type of peripheral T-cell lymphoma. Fewer than 550 cases have been reported worldwide. Although BIA-ALCL is usually indolent, early diagnosis and treatment have been shown to improve outcome. CASE DESCRIPT...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-018-1204-0
更新日期:2018-12-01 00:00:00
abstract::Rhinoplasty is performed to improve the appearance of the nose. However, conventional procedures may result in impairment of nasal breathing. The purpose of this article is to describe a "functional and esthetic" rhinoplasty technique designed to avoid adverse effects on ventilation by preserving the structure of the ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-003-2136-9
更新日期:2003-09-01 00:00:00
abstract::Polyacrylamide hydrogel (PAAG) as an implanted material for augmentation mammaplasty has been used for years in China. Many kinds of complications associated with PAAG use have been reported in the clinical literature. This report presents two cases of breast cancer occurring after injection of PAAG in augmented breas...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9298-4
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Hematoma is the most common postoperative complication of rhytidoplasty, resulting in higher morbidity and longer recovery. Quilting suture for closure of the undermined area in abdominoplasty avoids the occurrence of seroma. Based on this principle and with the objective of reducing the number of patients w...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0202-5
更新日期:2014-02-01 00:00:00
abstract::Level of Evidence V 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 . ...
journal_title:Aesthetic plastic surgery
pub_type: 信件
doi:10.1007/s00266-020-01754-7
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Phyllodes tumors of the breast are the rarest of all breast neoplasms. Giant phyllodes tumors (>10 cm) of the breast have been less discussed in the literature. Reconstruction of the large defect created after wide excision (safety margin >1 cm) is a challenge in these patients. We present one technique usin...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0792-4
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Neck rejuvenation has been one of the most important components in treatment for the aging face because the neck frequently is the first feature to show signs of aging. Several techniques have been described, but assessment of the long-term effects, although limited, has shown frequent recurrence of neck pto...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-005-0028-x
更新日期:2005-09-01 00:00:00
abstract::: Complications of female abdominoplasty are well known. Males prone to centripetal obesity may have minimal subcutaneous fat and significant hypogastric skin laxity making them apparent good candidates for abdominoplasty. We describe a case of severe gastroesophageal reflux following male abdominoplasty presumably se...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00449256
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:Aquafilling filler is used for breast and buttock augmentation, which are the most commonly performed cosmetic surgery procedures. However, complications after using Aquafilling filler for breast augmentation have been reported, and there are concerns regarding its use in large areas, such as the buttocks. W...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01889-7
更新日期:2020-12-01 00:00:00
abstract::There have been many important analyses of prosthesis selection, techniques of implantation, and subpectoral or subglandular pockets, but only a few studies comparing and discussing the different approaches. The best incision must achieve a good and simple approach to the retromammary location, subpectoral or subgland...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900314
更新日期:1999-11-01 00:00:00
abstract::Tissue expansion is indicated in the reconstruction of various scalp defects when there is inadequate adjacent tissue to allow either primary closure of the defect or repair with a local flap. It is the most important armamentarium for aesthetic hair-bearing scalp reconstruction in cases of congenital or required defe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-4008-3
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Very large breasts associated with ptosis frequently present a challenge to the plastic surgeon in choosing the ideal procedure to obtain a satisfactory result. A free nipple graft, which for many represents the best option in these conditions, has many disadvantages. METHODS:The author's method of a superi...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9316-1
更新日期:2009-05-01 00:00:00
abstract::Three disadvantages are frequent after parotidectomy: a scar affecting the neck, a deep hollow between the sternocleidomastoid muscle and the mandible (the larger the resection is, the deeper is the hollow), and a sweat secretion. These disadvantages can be prevented or reduced by using four simple procedures: (1) usi...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900234
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Cosmetic surgery is no longer just for females. More men are opting for cosmetic procedures, with marked increases seen in both minimally invasive and surgical options over the last decade. Compared to females, relatively little work has specifically focused on factors predicting males' attitudes toward cosm...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0882-3
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:An increasing trend toward day surgery management requires plastic surgeons not only to be cognizant of block techniques, but also to assess their safety and efficacy objectively. Paravertebral block offers benefits by enhancing surgical anesthesia and postoperative analgesia. This study aimed to assess the ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0230-5
更新日期:2007-11-01 00:00:00
abstract::We present our experience with endoscopic transaxillary subglandular breast augmentation using textured silicon gel implants. Fourteen implants were placed in seven patients through a 4 cm axillary incision, in a subglandular pocket, with the help of a 10 mm, 30 degrees endoscope with a subcutaneous retractor and endo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010035
更新日期:2000-05-01 00:00:00
abstract::This study was the first empirical investigation of body image dissatisfaction in male cosmetic surgery patients. Thirty men completed two body image measures prior to their initial consultation. Results were compared to the norms for each of the measures and with a sample of 30 women seeking similar cosmetic procedur...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900160
更新日期:1998-01-01 00:00:00
abstract::The Daguerreotype is an integral part of modern history as artifact and witness to great events and forms the basis on which the first surgical photograph of an amputation was taken in North America, during the Mexican-American War between 1846 and 1847; however, its photographer remains unknown. ...
journal_title:Aesthetic plastic surgery
pub_type: 历史文章,杂志文章
doi:10.1007/BF00437111
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:The safest pocket location for gluteal augmentation surgery using implants still is unknown. This study conducted a systematic review to derive evidence-based recommendations concerning the safest type of pocket location (sub-muscular, subfascial, intramuscular, or intramuscular XYZ method) for silicone impl...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00266-012-0018-8
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Lip augmentation could be a possible cause of blindness following filler injections. This study evaluated the risk by simulating clinical scenarios of marginal injections to the upper and lower lips and then evaluated the risk of vascular injuries. METHODS:A 22G cannula was inserted bilaterally along the we...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0755-1
更新日期:2017-04-01 00:00:00
abstract:PURPOSE:Advances in medical technology coupled with rapid growth of web-based mass media and social networking services have considerably increased public access to cosmetic surgery. In South Korea, in particular, the number of people undergoing cosmetic surgery has been rapidly increasing, and studies related to cosme...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s00266-019-01515-1
更新日期:2020-02-01 00:00:00
abstract::Platysma muscular bands are present during the aging period, generally starting in the second half of the fourth decade of life in both sexes. One or two bands along the anterior segment of the neck are the most frequent, with varied extensions and appearances. The literature records different techniques for solving t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9782-0
更新日期:2011-10-01 00:00:00
abstract::An alternative method of draping of the ears is presented in which a mesh gauze dressing is used as an adjunctive method for restraining hair from the surgical field. Its use is rapid and permits exposure and visibility of the ears bilaterally. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01578364
更新日期:1990-10-01 00:00:00
abstract::Use of Reston foam along with a pressure garment after liposuction results in three salutary effects: less waviness in the skin surface, a more comfortable recovery, and less blood loss and ecchymoses. Free fat cells are thought to be redistributed evenly by the pressure of the foam plus the pressure garment. The resu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00455049
更新日期:1993-01-01 00:00:00
abstract::Vertical scar mammaplasty, first described by Lötsch in 1923 and Dartigues in 1924 for mastopexy, was extended later to breast reduction by Arié in 1957. It was otherwise lost to surgical history until Lassus began experimenting with it in 1964. It then was extended by Marchac and de Olarte, finally to be popularized ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-005-0093-1
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis. METHODS:Grades 2 and 3 ptosis were corrected for selected patients using a combination of augment...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9440-y
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:The scroll area of the nose is important for breathing; thereby, its reconstruction can improve the nasal patency. OBJECTIVE:To evaluate the effect of scroll reconstruction on breathing in patients following open rhinoplasty. METHODS:Using the prospective controlled study design, we enrolled a cohort of pa...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-02125-y
更新日期:2021-01-28 00:00:00
abstract::Masseteric hypertrophy occurs frequently among Asians, including Koreans, because of racial characteristics and dietary habits. It is thought to be an unpleasant feature, especially because of its strong and masculine impression. Recently, the authors developed a method for the volumetric reduction of hypertrophied ma...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0151-3
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Fat-preserving lower blepharoplasty techniques and filling techniques using autologous or non-autologous materials are increasingly used to treat tear trough deformity. However, there has been no definitive comparison of the results of fat repositioning versus autologous fat grafting for this condition. The ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0692-z
更新日期:2017-02-01 00:00:00
abstract::Supernumerary nostril and oblique facial cleft are both rare congenital anomalies. Here, we present a 2-year-old patient with a supernumerary nostril and a Tessier 3 incomplete facial cleft, which have not been reported previously. It should also be mentioned that the nostril and ala of this supernumerary nostril were...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0501-0
更新日期:2015-08-01 00:00:00