| A comparative analysis of tissue expander reconstruction of burned and unburned chest and breasts using endoscopic and open techniques. | |
| | |
MedLine Citation:
|
PMID: 19910841 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Tissue expansion is not widely accepted for reconstruction of breast and chest burn deformities because of concerns about the capacity of compromised skin to stretch without complications. The authors hypothesized that tissue expander reconstruction of breast and chest burn deformities is reliable and has outcomes similar to those of expansion of similar nonburned tissues. The authors used congenital breast anomalies as a control because they share similar reconstructive challenges: constricted skin envelope and gross malformation of the parenchyma and nipple-areola complex. The authors also hypothesized that endoscopic techniques may improve outcomes for breast and chest burn reconstruction. METHODS: A retrospective review was completed of tissue expander reconstructions of burn and congenital breast deformities. All reconstructions used an endoscopic or open tissue expander placement and subsequent local tissue rearrangements. Data were analyzed using parametric and nonparametric methods. RESULTS: For reconstruction of burn deformities, 15 women had 37 expanders placed. Within the congenital breast cohort, 20 patients had 22 tissue expanders placed. There were no statistical differences in follow-up time, body mass index, or comorbidities between burn and congenital patients. There was no statistical difference in major complications (p = 0.72) between these groups. Within the burn deformity cohort, endoscopic reconstructions had fewer major complications (p = 0.04), required less operative time per expander (p < 0.001), and required less time to expand (p = 0.021). CONCLUSIONS: The authors believe that breast and chest burn deformities can be safely reconstructed with tissue expanders without increased complications over expander reconstruction of the congenital breast. Furthermore, endoscopic techniques may be superior for burn deformities because of improved visualization and remote incisions. |
| | |
Authors:
|
Benjamin Levi; David L Brown; Paul S Cederna |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Plastic and reconstructive surgery Volume: 125 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2010-02-04 Completed Date: 2010-03-01 Revised Date: 2011-02-16 |
Medline Journal Info:
|
Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 547-56 Citation Subset: AIM; IM |
Affiliation:
|
Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, Mich 48109-0340, USA. cederna@med.umich.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Breast / abnormalities, injuries, surgery Burns / epidemiology, surgery* Comorbidity Endoscopy / methods* Female Humans Length of Stay Mammaplasty / methods* Postoperative Complications / epidemiology Reconstructive Surgical Procedures / methods Retrospective Studies Thoracic Injuries / epidemiology, surgery* Thorax Tissue Expansion Devices* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ureaplasma: pathogen or passenger in neonatal meningitis?
Next Document: Fundamental principles of conducting a surgery economic analysis study.