The current use of tissue expanders in breast reconstruction: device design, features, and technical considerations.

Expert review of medical devices Pub Date : 2024-01-01 Epub Date: 2024-02-04 DOI:10.1080/17434440.2023.2288911
Min-Jeong Cho, Rana V Farhadi, David W Nash, Joseph Kaleeny, Stephen P Povoski, Albert H Chao
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Abstract

Introduction: The use of tissue expanders (TE) in post-mastectomy breast reconstruction is a widely accepted practice, especially in patients desiring implant-based breast reconstruction. It has become the standard of care to perform a two-staged breast reconstruction using tissue expanders for the past 50 years due to its reliability, safety, cost-effectiveness, and versatility. Due to its popularity, there are numerous types and features of breast tissue expanders and various surgical approaches available for plastic surgeons.

Areas covered: In this article, we will review the role of tissue expanders in breast reconstruction, the types and features of breast tissue expanders, and technical considerations.

Expert opinion: The use of tissue expanders in breast reconstruction offers significant advantages of preserving the breast skin envelope and reestablishing the breast mound. With evolving approaches to breast reconstruction, tissue expander design, and application underwent several refinements and modifications. Due to these advances, studies on its long-term efficacy and safety profile typically fall behind and more studies with higher levels of evidence are needed to better evaluate the efficacy and safety profile of tissue expanders. With increased understanding, reconstructive surgeons can minimize complications and maximize reconstructive, aesthetic outcomes with high patient satisfaction.

组织扩张器在乳房重建中的当前应用:设备设计、特点和技术考虑。
在乳房切除术后乳房重建中使用组织扩张器(TE)是一种被广泛接受的做法,特别是在希望以植入物为基础的乳房重建的患者中。在过去的50年里,由于其可靠性、安全性、成本效益和通用性,使用组织扩张器进行两阶段乳房重建已经成为标准的护理方法。由于它的普及,有许多类型和特点的乳房组织扩张器和各种手术方法可用于整形外科医生。涉及领域:在这篇文章中,我们将回顾组织扩张器在乳房重建中的作用,乳房组织扩张器的类型和特点,以及技术上的考虑。专家意见:在乳房重建中使用组织扩张器在保留乳房皮肤包膜和重建乳房丘方面具有显著的优势。随着乳房重建方法的发展,组织扩张器的设计和应用经历了几次改进和修改。由于这些进展,对其长期疗效和安全性的研究通常落后,需要更多的研究和更高水平的证据来更好地评估组织扩张剂的疗效和安全性。随着了解的增加,重建外科医生可以最大限度地减少并发症,最大限度地提高重建,美观的结果,患者满意度高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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