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专题导读 | 乳房重建假体植入 2019-11-10

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乳房重建假体植入

Seminars in Plastic Surgery专题导读

填充植入技术是乳房切除术后乳房重建的最常见的手术方式。过去十年间,随着植入技术、外科手术技术、人工生物皮瓣制造工艺的突飞猛进,乳房重建术的可预测性不断增强,术后效果也愈发令患者满意。对于乳房切除术后皮瓣血运灌注评估的客观研究,有更进一步改善乳房重建术术后效果的潜能。在人工生物假体材料的质量保证下,过去的五年间再兴假体植入的热潮。

这些进步克服了假体植入乳房重建的一些禁忌,包括乳房切除术术后放疗,乳房切除术后一期再造以及保留乳头的乳房切除术。随着外科医生手术经验的不断丰富,我们对假体植入相关病理学的认知也在不断增加。过去几年,临床医生对于乳腺假体植入相关间变性大细胞淋巴瘤病理、诊断、治疗的意识都在不断提高。

本期期刊聚焦乳房重建假体植入,旨在与临床整形外科医生分享最新的研究进展。

论文一:The Evolution of Breast Implants

作者:Christodoulos Kaoutzanis, Julian Winocour, Jacob Unger, Allen Gabriel, G. Patrick Maxwell

一直以来,丰胸手术都是美国最常见的整形手术之一。本篇文章,作者讲述了自1962年第一例丰胸手术完成后,这50余年来,丰胸手术的发展历史。

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Abstract:

Breast augmentation remains one of the most commonly performed aesthetic procedures in the United States and worldwide. Throughout the last few decades, the implants used for this procedure have undergone significant advancements, which has allowed surgeons to provide safer and more aesthetically pleasing outcomes. This article discusses the history of breast implants since their invention in 1962. Particular emphasis is given to the evolution of silicone implants with its many challenges, which has resulted in the development of the currently used fourth- and fifth-generation devices. Knowledge of these advances will allow physicians to more critically evaluate their results, and also will encourage them to provide more up-to-date scientific data on these devices to further improve the clinical outcomes of their patients.

◎ 阅读本篇论文PDF原文,请点击这里

论文二:Latest Trends in Subpectoral Breast Reconstruction

作者:Christine Oh, Sebastian J. Winocour, Valerie Lemaine

传统的假体植入重建手术包含两步并会在胸壁下放入组织扩张器。新技术的发展给乳房重建术带来了革命性的改变。请看本文介绍的乳房重建手术的最新进展。

Abstract:

There has been a shift in recent years toward a growing popularity of implant-based breast reconstruction, especially in the setting of increased frequency of concurrent contralateral prophylactic mastectomy. Advancements in implant safety and technology have also allowed for an expanding implant reconstruction practice across the country. The traditional approach is immediate two-stage implant reconstruction with placement of a tissue expander within a subpectoral pocket. The introduction of acellular dermal matrix has revolutionized implant-based breast reconstruction, allowing surgeons the opportunity to minimize morbidity while maximizing aesthetic outcomes. There have also been advances in the management of postoperative pain control as well as secondary revision surgery.

◎ 阅读本篇论文PDF原文,请点击这里

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Seminars in Plastic Surgery

Issues per year : 4
Volume : 33
Year : 2019
ISSN : 1535-2188

影响因子:0.561

Seminars in Plastic Surgery 为综述季刊,内容涵盖美容整形和重建整形手术各领域的专题。涉及乳房重建术、鼻部整形术、脂肪生成和抽脂手术、颅颌面创伤及所有其他主要整形外科手术等专题。

本刊还涵盖游离组织移植、激光、内窥镜面部整S形手术等新兴领域,以及与这些技术相关的所有其他技术。

Thieme未来星 - 冈天然:

女,首都医科大学临床医学专业,研究方向为外科学(普外科)。

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