From the Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School.
Plast Reconstr Surg. 2020 Feb;145(2):421e-432e. doi: 10.1097/PRS.0000000000006510.
After reading this article, the participant should be able to: 1. Understand the indications for implant-based breast reconstruction and the indications for nipple preservation compared to skin-sparing or skin-reducing patterns. 2. Understand the indications for direct-to-implant breast reconstruction versus tissue expander/implant breast reconstruction and the advantages and disadvantages of total, partial, or no muscle coverage. 3. Understand the role of acellular dermal matrix or mesh in reconstruction. 4. Learn the advantages and disadvantages of different types and styles of implants and develop a postoperative plan for care and pain management.
Breast reconstruction with implants has seen a decade of advances leading to more natural breast reconstructions and lower rates of complications.
阅读本文后，参与者应能够：1. 了解基于植入物的乳房重建的适应证，以及与保留乳头相比，保留乳头的适应证皮肤保存或皮肤减少模式。2. 了解直接植入物乳房重建与组织扩张器/植入物乳房重建的适应证，以及完全、部分或无肌肉覆盖的优缺点。3. 了解脱细胞真皮基质或网在重建中的作用。4. 了解不同类型和风格的植入物的优缺点，并制定术后护理和疼痛管理计划。
植入物乳房重建在过去十年中取得了进展，使乳房重建更加自然，并发症发生率更低。
