Busse Brittany, Orbay Hakan, Sahar David E
Department of Surgery, UC Davis School of Medicine, Sacramento, CA 95817, USA.
Division of Plastic Surgery, UC Davis School of Medicine, Sacramento, CA 95817, USA.
Case Rep Surg. 2014;2014:876254. doi: 10.1155/2014/876254. Epub 2014 Dec 25.
Prosthetic implants are frequently used for breast augmentation and breast reconstruction following mastectomy. Unfortunately, long-term aesthetic results of prosthetic breast restoration may be hindered by complications such as rippling, capsular contracture, and implant malposition. The advent of use of acellular dermal matrices has greatly improved the outcomes of prosthetic breast reconstruction. We describe a case of rippling deformity of breast that was treated using an acellular dermal matrix product, AlloMax. The patient presented with visible rippling of bilateral prosthetic breast implants as well as significant asymmetry of the breasts after multiple excisional biopsies for right breast ductal carcinoma in situ. A 6 × 10 cm piece of AlloMax was placed on the medial aspect of each breast between the implant and the skin flap. Follow-up was performed at 1 week, 3 months, and 1 year following the procedure. The patient recovered well from the surgery and there were no complications. At her first postoperative follow-up the patient was extremely satisfied with the result. At her 3-month and 1-year follow-up she had no recurrence of her previous deformity and no new deformity.
人工乳房植入物常用于隆胸以及乳房切除术后的乳房重建。不幸的是，人工乳房修复的长期美学效果可能会受到诸如波纹、包膜挛缩和植入物位置不当等并发症的影响。脱细胞真皮基质的应用极大地改善了人工乳房重建的效果。我们描述了一例使用脱细胞真皮基质产品AlloMax治疗的乳房波纹畸形病例。该患者因右乳原位导管癌接受多次切除活检后，双侧人工乳房植入物出现明显波纹，且乳房明显不对称。在每个乳房的植入物和皮瓣之间的内侧放置一块6×10厘米的AlloMax。术后1周、3个月和1年进行随访。患者手术恢复良好，无并发症。术后首次随访时，患者对结果非常满意。在3个月和1年的随访中，她之前的畸形没有复发，也没有出现新的畸形。
