Marks Jacob M, Farmer Rebecca L, Afifi Ahmed M
Division of Plastic and Reconstructive Surgery, University of Wisconsin Hospitals and Clinics, Madison, Wisc.
Department of Plastic Surgery, Cairo University, Cairo, Egypt.
Plast Reconstr Surg Glob Open. 2020 Aug 19;8(8):e3060. doi: 10.1097/GOX.0000000000003060. eCollection 2020 Aug.
Prepectoral implant-based breast reconstruction has recently gained increasing popularity, but there are limited data regarding national trends in the use of this technique. Our aim was to determine practice patterns related to prepectoral breast reconstruction among plastic surgeons, as well as to identify perceived advantages and disadvantages of this technique.
A 16-question electronic survey tool was distributed to 2535 members of the American Society of Plastic Surgeons. Survey items focused on surgeon practices related to prepectoral reconstruction, in addition to their motivations for and concerns with performing the procedure.
A total of 274 responses were received (10.8% response rate). Nearly half of respondents (48.4%) reported using prepectoral techniques in all or most of their procedures. Decreased animation deformity was identified as the most significant advantage by 76.3% of respondents. Increased rippling and potential wound healing complications were identified as the most significant disadvantages to the procedure by 49.1% and 40.4% of respondents, respectively. The majority of surgeons reported using acellular dermal matrices in their procedures, with most surgeons demonstrating preferences for cohesive and shaped devices.
Prepectoral breast reconstruction is being widely adopted by plastic surgeons, with the majority of surgeons in our sample using prepectoral techniques in their practices. Responses demonstrate that this technique offers several perceived advantages, most notably the avoidance of animation deformity. However, our data also highlight that there are still many unanswered questions in the community about the complication profile and technical aspects of prepectoral techniques that warrant further investigation.
基于胸大肌前植入物的乳房重建近来越来越受欢迎，但关于该技术使用的全国趋势的数据有限。我们的目的是确定整形外科医生中与胸大肌前乳房重建相关的实践模式，并识别该技术的已知优点和缺点。
向美国整形外科医师协会的2535名成员分发了一份包含16个问题的电子调查工具。调查项目除了关注外科医生进行该手术的动机和担忧外，还聚焦于与胸大肌前重建相关的外科医生实践。
共收到274份回复（回复率为10.8%）。近一半的受访者（48.4%）报告在所有或大部分手术中使用胸大肌前技术。76.3%的受访者认为减少动态畸形是最显著的优点。分别有49.1%和40.4%的受访者认为该手术最显著的缺点是波纹增加和潜在的伤口愈合并发症。大多数外科医生报告在手术中使用脱细胞真皮基质，大多数外科医生表现出对粘性和塑形装置的偏好。
胸大肌前乳房重建正被整形外科医生广泛采用，我们样本中的大多数外科医生在实践中使用胸大肌前技术。回复表明该技术有几个已知优点，最显著的是避免动态畸形。然而，我们的数据也突出表明，关于胸大肌前技术的并发症情况和技术方面，该领域仍有许多未解决的问题，值得进一步研究。
