Division of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Plastic Surgery Department, Cleveland Clinic, Cleveland, OH 44195, USA.
Medicina (Kaunas). 2022 Jul 25;58(8):992. doi: 10.3390/medicina58080992.
The use of acellular dermal matrix (ADM) implants has enhanced breast reconstruction. ADM is a biotechnologically designed human tissue of bovine or porcine origin in which tissue processing removes cellular antigens. In this case report, we describe the use of ADM in one-stage prepectoral breast reconstruction. Skin-reduction breast reconstruction with a prepectoral implant was performed. We created a combined dermal pocket using the inferior dermal flap, sutured with a patch of acellular dermal matrix to continue its extension until the upper pole, to cover the implant. This technique offers single-stage immediate reconstruction, with a decreased requirement for ADM and increased use of vascularized tissue and implant support. Additionally, in the pre-pectoral space, decreased pain postoperatively and less anatomic disruption is offered.
使用脱细胞真皮基质 (ADM) 植入物可增强乳房重建。ADM 是一种生物技术设计的牛或猪源人组织，其中组织处理去除细胞抗原。在本病例报告中，我们描述了在一期胸肌前乳房重建中使用 ADM。进行了带胸肌前植入物的皮肤缩减乳房重建。我们使用下真皮皮瓣创建了一个联合真皮袋，并使用一片脱细胞真皮基质缝合，以继续其延伸直至上极，以覆盖植入物。该技术提供了单阶段即刻重建，减少了对 ADM 的需求，增加了血管化组织和植入物支撑的使用。此外，在胸肌前间隙，术后疼痛减轻，解剖结构破坏减少。
