Lavey E, Apfelberg D B, Lash H, Maser M R, Laub D R, Gosain A
Plast Reconstr Surg. 1982 Apr;69(4):646-51. doi: 10.1097/00006534-198204000-00013.
Custom-fabricated silicone implants were used in 17 patients to reconstruct thoracic deformities associated with pectus excavatum, hypoplasia of the thorax, and radical mastectomy. The implants have been in place an average of 2 1/2 years. Custom implants have been permanently removed in only two of these patients. These implants can provide accurate, complex contour restoration without creating donor defects. However, problems of extrusion, capsule formation, slippage, and infection requiring implant removal are characteristic of nonautogenous materials. Because these are foreign bodies, well-vascularized soft-tissue coverage is especially essential to retain these implants.
定制硅胶植入物用于17例患者，以修复与漏斗胸、胸廓发育不全和根治性乳房切除术相关的胸廓畸形。这些植入物平均已放置2年半。在这些患者中，只有两例的定制植入物被永久取出。这些植入物可以提供准确、复杂的轮廓修复，而不会造成供区缺损。然而，植入物挤出、包膜形成、移位和感染等需要取出植入物的问题是非自体材料的特点。由于这些是异物，良好血运的软组织覆盖对于保留这些植入物尤为重要。
