From the Dallas Plastic Surgery Institute.
Plast Reconstr Surg. 2018 Dec;142(6):933e-946e. doi: 10.1097/PRS.0000000000005050.
After reading this article, the participant should be able to: 1. Develop a practical method for preoperative implant size selection. 2. List characteristics and examples of fourth- and fifth-generation silicone implants. 3. Recognize the differences in "profile" designations across implant manufacturers. 4. Recall updated statistics on breast implant-associated anaplastic large cell lymphoma and describe current guidelines on disease diagnosis and treatment. 5. Apply atraumatic and aseptic surgical techniques in primary breast augmentation.
Modern primary breast augmentation requires an intimate knowledge of the expanding breast implant market, including characteristics of current generation silicone implants and "profile" types. Optimal implant size selection requires balancing patient desires with tissue qualities. Evidence and awareness of breast implant-associated anaplastic large cell lymphoma continue to grow, and patients and surgeons alike should be informed on the most updated facts of the disease entity. Atraumatic surgical technique and aseptic adjuncts are critical in reducing periprosthetic inflammation and contamination, both of which are known instigators of capsular contracture and potentially breast implant-associated anaplastic large cell lymphoma.
阅读本文后，参与者应能够：1. 制定术前植入物大小选择的实用方法。2. 列出第四代和第五代硅树脂植入物的特点和实例。3. 认识到不同植入物制造商之间“轮廓”指定的差异。4. 回忆起关于与乳房植入物相关的间变性大细胞淋巴瘤的最新统计数据，并描述目前关于疾病诊断和治疗的指南。5. 在原发性乳房增大中应用无创伤和无菌手术技术。
现代原发性乳房增大需要深入了解不断发展的乳房植入物市场，包括当前一代硅树脂植入物的特点和“轮廓”类型。最佳植入物大小选择需要平衡患者的愿望和组织质量。与乳房植入物相关的间变性大细胞淋巴瘤的证据和认识不断增加，患者和外科医生都应该了解该疾病实体的最新事实。无创伤手术技术和无菌辅助工具对于减少假体周围炎症和污染至关重要，这两者都是包膜挛缩和潜在的与乳房植入物相关的间变性大细胞淋巴瘤的已知引发因素。
