Woo Soo Hyun, Yoon In Ah, Choi Eun Jeong, Han Hyun Ho, Eom Jin Sup, Lee Taik Jong, Kim Eun Key
Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Plast Surg Hand Surg. 2023 Feb-Dec;57(1-6):370-375. doi: 10.1080/2000656X.2022.2118757. Epub 2022 Sep 8.
The issue of breast implant-associated anaplastic large cell lymphoma in 2019 has resulted in the discontinuation of textured breast implants and resumption in the use of smooth round implants. However, in the field of breast reconstruction, long-term follow-up data for direct-to-implant reconstruction using smooth round implants is insufficient. This retrospective study aimed to evaluate the long-term outcomes of breast reconstruction using smooth round implants. This study included 185 patients (208 breasts) who underwent smooth round implant-based immediate breast reconstruction between 2007 and 2018. Their demographic information and surgical and oncological data were collected. Early (within 90 days) and late (after 90 days) complications, reoperations, implant maintenance, and the survival rate were analyzed to evaluate the long-term outcomes and identify the related factors. The mean follow-up period was 112.08 months. The most common early complications were skin necrosis (9.13%) and infection (3.85%). The factors influencing the development of early complications were the mastectomy specimen weight (237.14 ± 114.84 cc and 298.04 ± 141.53 cc for no complication and any complication, respectively; = 0.0123) and implant volume (222.79 ± 77.76 cc and 264.48 ± 89.03 cc for no complication and any complication, respectively; = 0.0082). The most common late complication was capsular contracture (13.46%). Approximately 91.35% of the implants were maintained during the follow-up period. The factors affecting the development of early complications and implant maintenance were the mastectomy specimen weight and implant volume. This study provides information on long-term follow-up results useful in cases where only smooth round implants are available, which can then serve as a basis for future related studies.
2019年乳房植入物相关间变性大细胞淋巴瘤问题导致有纹理乳房植入物停用，光滑圆形植入物重新开始使用。然而，在乳房重建领域，使用光滑圆形植入物进行直接植入式重建的长期随访数据不足。这项回顾性研究旨在评估使用光滑圆形植入物进行乳房重建的长期效果。本研究纳入了2007年至2018年间接受基于光滑圆形植入物的即刻乳房重建的185例患者（208个乳房）。收集了她们的人口统计学信息以及手术和肿瘤学数据。分析早期（90天内）和晚期（90天后）并发症、再次手术、植入物维护情况以及生存率，以评估长期效果并确定相关因素。平均随访期为112.08个月。最常见的早期并发症是皮肤坏死（9.13%）和感染（3.85%）。影响早期并发症发生的因素是乳房切除标本重量（无并发症和有任何并发症的分别为237.14±114.84立方厘米和298.04±141.53立方厘米；P = 0.0123）和植入物体积（无并发症和有任何并发症的分别为222.79±77.76立方厘米和264.48±89.03立方厘米；P = 0.0082）。最常见的晚期并发症是包膜挛缩（13.46%）。随访期间约91.35%的植入物得到维护。影响早期并发症发生和植入物维护的因素是乳房切除标本重量和植入物体积。本研究提供了仅使用光滑圆形植入物情况下有用的长期随访结果信息，可为未来相关研究提供依据。
