Icahn School of Medicine, Mount Sinai Hospital, 1 Gustave Levy Place, New York, NY 10029, USA.
Cleveland Clinic Florida, 3555 10th Ct, Vero Beach, Fl 32960, USA.
Clin Plast Surg. 2023 Apr;50(2):243-248. doi: 10.1016/j.cps.2022.11.003. Epub 2023 Jan 31.
Implant-based breast reconstruction remains the most commonly performed type of restorative surgery after mastectomy for breast cancer. Placement of a tissue expander at the time of mastectomy allows gradual skin envelope expansion but requires additional surgery and time to completion of a patient's reconstruction. Direct-to-implant reconstruction provides a one-stage, final implant insertion, thereby bypassing the need for serial tissue expansion. With proper patient selection, successful preservation of the breast skin envelope, and accurate implant size and placement, direct-to-implant reconstruction has a very high rate of success and patient satisfaction.
基于植入物的乳房重建仍然是乳腺癌乳房切除术后最常进行的修复手术类型。在乳房切除术中放置组织扩张器可以逐渐扩大皮肤覆盖范围，但需要额外的手术和时间来完成患者的重建。直接到植入物的重建提供了一个阶段的最终植入物插入，从而避免了连续的组织扩张的需要。通过适当的患者选择、成功保留乳房皮肤覆盖物以及准确的植入物大小和位置，直接到植入物的重建具有非常高的成功率和患者满意度。
