Use of Fenestrations in Acellular Dermal Allograft in Two-Stage Tissue Expander/Implant Breast Reconstruction
The authors present a new technique of alteration of the acellular dermal matrix through strategically placed fenestrations, improving the reconstructive experience and overall cosmetic outcome. The authors present a retrospective chart review following two surgeons' experience at the Universit...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2014-11, Vol.134 (5), p.901-904 |
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| container_title | Plastic and reconstructive surgery (1963) |
| container_volume | 134 |
| creator | Martin, Jenna B. Moore, Ryan Paydar, Keyianoosh Z. Wirth, Garrett A. |
| description | The authors present a new technique of alteration of the acellular dermal matrix through strategically placed fenestrations, improving the reconstructive experience and overall cosmetic outcome. The authors present a retrospective chart review following two surgeons' experience at the University of California, Irvine, Department of Plastic Surgery using surgeon-designed fenestrated acellular dermal matrices in two-stage tissue expander breast reconstruction. The authors found that this leads to improved intraoperative fill volume, decreased number of postoperative expansions, increased expansion rate with subjectively less pain, decreased time to full expansion, and subjectively improved cosmetic outcome.
Therapeutic, III. |
| doi_str_mv | 10.1097/PRS.0000000000000598 |
| format | Article |
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Therapeutic, III.</description><subject>Acellular Dermis - statistics & numerical data</subject><subject>Allografts</subject><subject>Breast Implants</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>California</subject><subject>Cohort Studies</subject><subject>Esthetics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Rejection</subject><subject>Graft Survival</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Implant Capsular Contracture - epidemiology</subject><subject>Mammaplasty - adverse effects</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy - methods</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Time Factors</subject><subject>Tissue Expansion Devices</subject><subject>Treatment Outcome</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtPwzAQhC0EgvL4Bwj5yCWt7diOeyzQQiUkEG3P0ZJsIOAkxXZU-PckvIUvltcz32qGkGPOhpyNk9Ht3WLI_h41NltkwJUYR1JIsU0GjMUi4kyJPbLv_RNjPIm12iV7QsUy0UIPSLXySJuCzrBGHxyEsqk9LWs6ydDa1oKjF-gqsHRibfPgoAj973LTRIsAD0iXpfct0unrGuoc3WherS3UgZ45BB_oHWYdMLg268mHZKcA6_Ho6z4gq9l0eX4VXd9czs8n11EWK2EiZVQhcmO0zCFhWisl5TgpMBPGiDhJCgAQSnDGOwUayI3IVXLfmWPUAll8QE4_uWvXvLRdsLQqfR8Iamxan3LNDZfM6F4qP6WZa7x3WKRrV1bg3lLO0r7otCs6_V90Zzv52tDeV5j_mL6b_eVuGhvQ-WfbbtCljwg2PH7wdCeNBOOS8-4V9SMTvwOxv4g-</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Martin, Jenna B.</creator><creator>Moore, Ryan</creator><creator>Paydar, Keyianoosh Z.</creator><creator>Wirth, Garrett A.</creator><general>American Society of Plastic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Use of Fenestrations in Acellular Dermal Allograft in Two-Stage Tissue Expander/Implant Breast Reconstruction</title><author>Martin, Jenna B. ; Moore, Ryan ; Paydar, Keyianoosh Z. ; Wirth, Garrett A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3528-585f2d8864da7066554497fec2882377faaa25210164de8ad82d57bc353e62e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acellular Dermis - statistics & numerical data</topic><topic>Allografts</topic><topic>Breast Implants</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - surgery</topic><topic>California</topic><topic>Cohort Studies</topic><topic>Esthetics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Rejection</topic><topic>Graft Survival</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Implant Capsular Contracture - epidemiology</topic><topic>Mammaplasty - adverse effects</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy - methods</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - surgery</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Time Factors</topic><topic>Tissue Expansion Devices</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martin, Jenna B.</creatorcontrib><creatorcontrib>Moore, Ryan</creatorcontrib><creatorcontrib>Paydar, Keyianoosh Z.</creatorcontrib><creatorcontrib>Wirth, Garrett A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martin, Jenna B.</au><au>Moore, Ryan</au><au>Paydar, Keyianoosh Z.</au><au>Wirth, Garrett A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Fenestrations in Acellular Dermal Allograft in Two-Stage Tissue Expander/Implant Breast Reconstruction</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>134</volume><issue>5</issue><spage>901</spage><epage>904</epage><pages>901-904</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>The authors present a new technique of alteration of the acellular dermal matrix through strategically placed fenestrations, improving the reconstructive experience and overall cosmetic outcome. The authors present a retrospective chart review following two surgeons' experience at the University of California, Irvine, Department of Plastic Surgery using surgeon-designed fenestrated acellular dermal matrices in two-stage tissue expander breast reconstruction. The authors found that this leads to improved intraoperative fill volume, decreased number of postoperative expansions, increased expansion rate with subjectively less pain, decreased time to full expansion, and subjectively improved cosmetic outcome.
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| identifier | ISSN: 0032-1052 |
| ispartof | Plastic and reconstructive surgery (1963), 2014-11, Vol.134 (5), p.901-904 |
| issn | 0032-1052 1529-4242 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1618140860 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acellular Dermis - statistics & numerical data Allografts Breast Implants Breast Neoplasms - pathology Breast Neoplasms - surgery California Cohort Studies Esthetics Female Follow-Up Studies Graft Rejection Graft Survival Hospitals, University Humans Implant Capsular Contracture - epidemiology Mammaplasty - adverse effects Mammaplasty - methods Mastectomy - methods Postoperative Complications - physiopathology Postoperative Complications - surgery Retrospective Studies Risk Assessment Time Factors Tissue Expansion Devices Treatment Outcome |
| title | Use of Fenestrations in Acellular Dermal Allograft in Two-Stage Tissue Expander/Implant Breast Reconstruction |
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