Document Detail

Capsular contracture after breast reconstruction with tissue expansion.
MedLine Citation:
PMID:  2804529     Owner:  NLM     Status:  MEDLINE    
Tissue expansion before placement of an implant for breast reconstruction is said to lessen the chance of capsular contracture. Forty-nine patients who had undergone post-mastectomy breast reconstruction using tissue expansion were reviewed. Capsular contracture was assessed using the Baker scale and compared with the speed of expansion, the degree of over-expansion and the interval between full expansion and placement of the definitive prosthesis. The overall incidence of capsular contracture (Baker III or worse) was 29%. Only one patient, however, has required capsulotomy for capsular contracture alone. Neither the speed of expansion nor the degree of over-expansion influenced the onset of contracture. Those patients with breasts assessed in Baker group I had a significantly longer interval between full expansion and reconstruction than those in Baker group III (p = 0.05). A modification of Baker's scale is suggested for the assessment of reconstructed breasts. Prospective studies are required to define the optimum timing for tissue expansion procedures.
J D Holmes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of plastic surgery     Volume:  42     ISSN:  0007-1226     ISO Abbreviation:  Br J Plast Surg     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-12-05     Completed Date:  1989-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984714R     Medline TA:  Br J Plast Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  591-4     Citation Subset:  IM    
Plastic Surgery and Burns Research Unit, University of Bradford.
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MeSH Terms
Breast / surgery*
Contracture / etiology*
Middle Aged
Postoperative Complications / etiology*
Prostheses and Implants*
Surgery, Plastic
Tissue Expansion*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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