Benito-Ruiz Jesús, Manzano Maria Luisa, Salvador-Miranda Laura
Drs Benito-Ruiz and Manzano are plastic surgeons in private practice in Barcelona, Spain. Dr Salvador-Miranda is a general surgeon in private practice in Barcelona, Spain
Drs Benito-Ruiz and Manzano are plastic surgeons in private practice in Barcelona, Spain. Dr Salvador-Miranda is a general surgeon in private practice in Barcelona, Spain.
Aesthet Surg J. 2017 Jan;37(1):46-56. doi: 10.1093/asj/sjw154. Epub 2016 Sep 30.
Form-stable 410 implants have the potential advantage of maintaining their anatomic form thanks to the cohesiveness of the gel. Furthermore, Biocell texturing appears to maximize adhesion and to allow for implant immobility.
To compare the rate of reoperations for transaxillary and periareolar approaches for breast augmentation.
This retrospective study consisted of 373 patients with a 5-year follow up. Patient demographics, self-perception and esteem, surgical technique, and implant characteristics were documented. The reasons for reoperation for both approaches were reviewed.
Transaxillary breast augmentation was used in 302 patients (81%) and periareolar breast augmentation in 71 patients (19%). In the axillary group, 210 had subfascial placement (69.5%), and 92 patients had submuscular placement (30.5%). In the nipple-areolar complex group, 50 were subfascial (70.4%), and 21 were submuscular (29.6%). The reoperation rate for the patients operated on during this time and followed for 5 years was 11% (8 patients) for the nipple-areolar complex approach and 8.3% (25 patients) in the axillary group. Capsular contracture grade III or IV were the main causes for reoperation for any technique (4.2% nipple-areolar complex vs 3.3% axillary). Other reasons were implant rupture, seroma, infection, implant malrotation, implant malposition, and rippling.
The rate of reoperations was similar to those described in the literature for this type of implant. There were no statistically significant differences between the various techniques, although the reoperation rate was significantly higher when a periareolar subfascial technique was used.
3 Therapeutic.
形态稳定的410型植入物因凝胶的内聚性而具有保持其解剖形态的潜在优势。此外，生物细胞纹理化似乎能使粘连最大化并实现植入物固定不动。
比较经腋窝入路和乳晕周围入路隆乳术的再次手术率。
这项回顾性研究纳入了373例患者，进行了5年的随访。记录了患者的人口统计学资料、自我认知和自尊、手术技术以及植入物特征。回顾了两种入路再次手术的原因。
302例患者（81%）采用经腋窝隆乳术，71例患者（19%）采用乳晕周围隆乳术。在腋窝组中，210例采用筋膜下植入（69.5%），92例采用胸大肌下植入（30.5%）。在乳头乳晕复合体组中，50例采用筋膜下植入（70.4%），21例采用胸大肌下植入（29.6%）。在此期间接受手术并随访5年的患者中，乳头乳晕复合体入路的再次手术率为11%（8例患者），腋窝组为8.3%（25例患者）。任何技术的再次手术的主要原因均为Ⅲ级或Ⅳ级包膜挛缩（乳头乳晕复合体组为4.2%，腋窝组为3.3%）。其他原因包括植入物破裂、血清肿、感染、植入物旋转不良、植入物位置不当和波纹形成。
再次手术率与该类型植入物的文献报道相似。尽管采用乳晕周围筋膜下技术时再次手术率显著更高，但各种技术之间无统计学显著差异。
3级治疗性。
