Department of Plastic & Reconstructive Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China.
Department of Plastic & Reconstructive Surgery, Shanghai East Hospital, Tongji University, Shanghai 200120, China.
Future Oncol. 2021 Dec;17(36):5177-5187. doi: 10.2217/fon-2021-0510. Epub 2021 Nov 3.
Capsular contracture is common in breast augmentation and reconstruction surgery. The present systematic review discusses the safety of textured and smooth implants in the submuscular position. A literature search was conducted on PubMed and EMBASE from inception until June 2020. The primary outcome was reduction of capsular contracture (Baker grade); others included time of capsular contracture onset, implant position/rupture rate/surface, hematoma/seroma risk, surgeon assessment and patient satisfaction. A total of 7731 patients were included from six publications. The overall risk rate for capsular contracture increased from 7.6 to 25% in 10 years. The capsular contracture rates in textured and smooth implants were 3-14% and 6-20%, respectively, and no significant difference between implants was observed when the implants were placed submuscularly. Submuscular placement and textured implants also reduced the incidence of other complications. This systematic review suggests that appropriate placement reduces capsular contracture rate, irrespective of implant surface.
包膜挛缩在隆胸和重建手术中很常见。本系统评价讨论了在胸肌下位置使用纹理和光滑植入物的安全性。在 PubMed 和 EMBASE 上进行了文献检索，检索时间从创建到 2020 年 6 月。主要结局是包膜挛缩（Baker 分级）的减少；其他包括包膜挛缩的发生时间、植入物位置/破裂率/表面、血肿/血清肿风险、外科医生评估和患者满意度。共有 6 篇文献的 7731 名患者被纳入。10 年内，包膜挛缩的总体风险率从 7.6%增加到 25%。在胸肌下放置时，纹理和光滑植入物的包膜挛缩率分别为 3-14%和 6-20%，两种植入物之间没有显著差异。胸肌下放置和纹理植入物还降低了其他并发症的发生率。本系统评价表明，无论植入物表面如何，适当的放置都可以降低包膜挛缩的发生率。
