Acellular Dermal Matrices in Breast Surgery, An Issue of by Richard E. Baxter

By Richard E. Baxter

Issues contain: Defining the problem/proof of notion; The reconstructive version; Do ADM’s swap the reason for fast vs. delayed?; Direct to implant reconstruction; Capsular contracture and ADM’s; Pocket reinforcement/bottoming out; ADM’s within the irradiated breast; rising purposes; comparability of other ADM fabrics; suggestions and pearls; monetary concerns

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Extra info for Acellular Dermal Matrices in Breast Surgery, An Issue of Clinics in Plastic Surgery - E-Book (The Clinics: Surgery)

Example text

In this procedure, the skin envelope after parenchymal resection is frequently larger than a traditional skin-sparing mastectomy. As a result, it can be difficult to obtain full muscle coverage of a tissue expander inflated to a volume sufficient to preserve the shape of the skin envelope. ADM is used in this circumstance to allow for more fill in the expander and thus minimize dead space within the mastectomy skin envelope. In single-stage, direct-to-implant reconstructions, ADM provides needed internal soft tissue support to allow an adequate-sized implant to be placed at the time of mastectomy.

1 Histology specimens of biopsied AlloDerm®. (A) Hematoxylin and eosin stain; (B) Verhoeff stain.

23. H. M. Warren. Immediate bilateral breast reconstruction with breast implants and inferolateral Alloderm slings. Ann Plast Surg. 2005;55(3):232-239. 24. A. Baxter. Indications and applications for high profile saline breast implants. Aesthet Surg J. 2004;24(1):24-27. 25. I. Duncan. Correction of implant rippling using allograft dermis. Aesthet Surg J. 2001;21(1):81-84. 26. P. Maxwell, A. Gabriel. Use of the acellular dermal matrix in revisionary aesthetic breast surgery. Aesthet Surg J. 2009;29(6):485-493.

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