Chao Albert H
Albert H. Chao, MD, is Assistant Professor in the Department of Plastic Surgery at Ohio State University and a board-certified plastic surgeon with specialty training in oncologic reconstructive surgery. His clinical practice focuses on oncologic reconstruction and microsurgery, and his research interests include patient outcomes and the role of technology.
Plast Surg Nurs. 2015 Jul-Sep;35(3):131-4; quiz 135-6. doi: 10.1097/PSN.0000000000000103.
Acellular dermal matrices (ADMs) are now commonly used in postmastectomy implant-based immediate breast reconstruction. In 2-stage reconstructions involving placement of a tissue expander followed by an implant, they can improve the aesthetic outcome and expedite the expansion process. The use of ADMs has also allowed for 1-stage immediate placement of an implant following mastectomy (direct-to-implant reconstruction). However, the use of ADMs is associated with an increased risk of certain types of complications. An understanding of the use of these materials is essential to the postoperative care of patients who undergo ADM-assisted breast reconstruction. In this article, the use of ADMs in postmastectomy immediate breast reconstruction is reviewed.
脱细胞真皮基质（ADM）目前常用于基于植入物的乳房切除术后即刻乳房重建。在两阶段重建中，先放置组织扩张器，随后植入假体，ADM可改善美学效果并加快扩张进程。ADM的使用还使得乳房切除术后能够一期即刻植入假体（直接植入式重建）。然而，使用ADM会增加某些类型并发症的风险。了解这些材料的使用对于接受ADM辅助乳房重建患者的术后护理至关重要。本文对ADM在乳房切除术后即刻乳房重建中的应用进行综述。
