Nahabedian Maurice Y
Department of Plastic Surgery, Virginia Commonwealth University, Inova Branch, Falls Church, Virginia, USA.
National Center for Plastic Surgery, McLean, VA, USA.
Gland Surg. 2019 Jun;8(3):271-282. doi: 10.21037/gs.2018.08.02.
Recent advancements in prosthetic breast reconstruction have provided the foundation for the bioengineered breast. These advancements include improved mastectomy techniques, autologous fat grafting, acellular dermal matrices (ADMs), and improved devices. Device-based breast reconstruction has evolved from subcutaneous, partial or total subpectoral, and now to prepectoral placement of devices. The evidence demonstrating the safety and efficacy of the bioengineered breast continues to increase. This manuscript will review the fundamental components of the bioengineered breast and provide an update of the current evidence.
假体乳房重建的最新进展为生物工程乳房奠定了基础。这些进展包括改进的乳房切除术技术、自体脂肪移植、脱细胞真皮基质(ADM)以及改进的设备。基于设备的乳房重建已从皮下、部分或完全胸大肌下发展到现在的胸肌前放置设备。证明生物工程乳房安全性和有效性的证据不断增加。本文将回顾生物工程乳房的基本组成部分,并提供当前证据的更新情况。