Zenn Michael, Venturi Mark, Pittman Troy, Spear Scott, Gurtner Geoffrey, Robb Geoffrey, Mesbahi Alex, Dayan Joseph
CARE Plastic Surgery, Cary, NC.
Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC.
Eplasty. 2017 Jun 12;17:e18. eCollection 2017.
This article reports on the current use of acellular dermal matrix in breast reconstruction. A literature review of articles on acellular dermal matrix in breast reconstruction from January 1, 2010, through December 20, 2016, was performed and analyzed for trends in acellular dermal matrix use and differences between commonly used acellular dermal matrixes. Clinical findings varied but include improved cosmesis and more 1-stage reconstructions using acellular dermal matrix. Superiority of sterile versus aseptic acellular dermal matrixes was noted, and the increased incidence of red breast syndrome with AlloDerm was significant. The cost-effectiveness of acellular dermal matrix use despite increased upfront costs was also highlighted. Finally, the article emphasizes the importance of well-vascularized mastectomy flaps and the use of indocyanine green angiography as an adjunct in immediate reconstruction with acellular dermal matrix.
本文报道了脱细胞真皮基质在乳房重建中的当前应用情况。对2010年1月1日至2016年12月20日期间有关脱细胞真皮基质在乳房重建方面的文章进行了文献综述，并分析了脱细胞真皮基质的使用趋势以及常用脱细胞真皮基质之间的差异。临床结果各不相同，但包括使用脱细胞真皮基质后美容效果改善以及更多的一期重建。注意到无菌与非无菌脱细胞真皮基质的优越性，且使用AlloDerm时红乳综合征的发病率增加显著。尽管前期成本增加，但也强调了使用脱细胞真皮基质的成本效益。最后，本文强调了血运良好的乳房切除皮瓣的重要性以及吲哚菁绿血管造影术作为脱细胞真皮基质即刻重建辅助手段的应用。
