Bojanic Christine, Samaras Stavros, Chishimba Mwenya M, Malata Charles M
Department of Plastic & Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
School of Medicine & Dentistry, University of Alberta, Edmonton, Canada.
J Surg Case Rep. 2021 Jun 29;2021(6):rjab256. doi: 10.1093/jscr/rjab256. eCollection 2021 Jun.
Acellular dermal matrices (ADMs) have ushered in a paradigm shift in prosthetic breast reconstruction; however, there has hitherto been no reported use of Braxon® ADM in aesthetic breast surgery. Here, we describe the case of a 42-year-old woman who presented for revision of her bilateral aesthetic augmentation-mastopexy following multiple revision surgeries. The predominant concerns were persistent pain, implant malposition and a wide intermammary distance. Her predicament was worsened by inability to tolerate monopolar diathermy owing to a spinal stimulator-the least invasive operation was sought and Braxon® ADM met this criterion. The procedure was a success, and she remains symptom-free, with soft breasts and stable implant positions. Braxon® ADM, with its preformed shape, total implant-wrapping design and easy suture fixation, lends itself to easy use in cosmetic breast surgery. Its role in cosmetic breast surgery has yet to be established, but this case marks the beginning of this endeavor.
脱细胞真皮基质（ADM）在乳房假体再造领域引发了一场范式转变；然而，迄今为止，尚无关于在美容性乳房手术中使用Braxon® ADM的报道。在此，我们描述了一名42岁女性的病例，该患者在经历多次修复手术后前来进行双侧美容性隆乳上提术的修复。主要问题是持续疼痛、植入物位置不当以及乳房间距过宽。由于脊髓刺激器，她无法耐受单极透热疗法，这使她的困境更加恶化——因此寻求了创伤最小的手术，而Braxon® ADM符合这一标准。手术很成功，她目前没有症状，乳房柔软，植入物位置稳定。Braxon® ADM具有预制形状、完全包裹植入物的设计以及易于缝合固定的特点，便于在美容性乳房手术中使用。其在美容性乳房手术中的作用尚未确立，但该病例标志着这一探索的开端。
