Unilateral Tissue Expander/Implant Two-Stage Breast Reconstruction with the Assistance of Three-Dimensional Surface Imaging

2019 ◽  
Vol 44 (1) ◽  
pp. 60-69 ◽  
Author(s):  
Jian-Xun Ma ◽  
You-Chen Xia ◽  
Bi Li ◽  
Hong-Mei Zhao ◽  
Yu-Tao Lei
Keyword(s):  
Breast Reconstruction ◽  
Three Dimensional ◽  
Tissue Expander ◽  
Surface Imaging ◽  
Two Stage ◽  
Dimensional Surface

scholarly journals A Novel Method of Outcome Assessment in Breast Reconstruction Surgery: Comparison of Autologous and Alloplastic Techniques Using Three-Dimensional Surface Imaging

2020 ◽  
Vol 44 (6) ◽  
pp. 1980-1987 ◽  
Author(s):  
Robin Hartmann ◽  
Maximilian Weiherer ◽  
Daniel Schiltz ◽  
Stephan Seitz ◽  
Luisa Lotter ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Three Dimensional ◽  
Surgical Techniques ◽  
Full Description ◽  
Surface Imaging ◽  
Level Of Evidence ◽  
Reconstruction Surgery ◽  
Present Trial ◽  
Based Medicine ◽  
Dimensional Surface

Abstract Background Breast reconstruction is an important coping tool for patients undergoing a mastectomy. There are numerous surgical techniques in breast reconstruction surgery (BRS). Regardless of the technique used, creating a symmetric outcome is crucial for patients and plastic surgeons. Three-dimensional surface imaging enables surgeons and patients to assess the outcome’s symmetry in BRS. To discriminate between autologous and alloplastic techniques, we analyzed both techniques using objective optical computerized symmetry analysis. Software was developed that enables clinicians to assess optical breast symmetry using three-dimensional surface imaging. Methods Twenty-seven patients who had undergone autologous (n = 12) or alloplastic (n = 15) BRS received three-dimensional surface imaging. Anthropomorphic data were collected digitally using semiautomatic measurements and automatic measurements. Automatic measurements were taken using the newly developed software. To quantify symmetry, a Symmetry Index is proposed. Results Statistical analysis revealed that there is no difference in the outcome symmetry between the two groups (t test for independent samples; p = 0.48, two-tailed). Conclusion This study’s findings provide a foundation for qualitative symmetry assessment in BRS using automatized digital anthropometry. In the present trial, no difference in the outcomes’ optical symmetry was detected between autologous and alloplastic approaches. Level of evidence Level IV. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

scholarly journals Long-term outcomes of two-stage, immediate and delayed breast reconstruction with polyurethane-covered versus textured implants: protocol of a prospective, multicentre randomised controlled trial (TIPI trial)

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044219
Author(s):  
J X Harmeling ◽  
Kevin Peter Cinca ◽  
Eleni-Rosalina Andrinopoulou ◽  
Eveline M L Corten ◽  
M A Mureau
Keyword(s):  
Randomised Controlled Trial ◽  
Breast Reconstruction ◽  
Controlled Trial ◽  
Capsular Contracture ◽  
Tissue Expander ◽  
Complication Rates ◽  
Two Stage ◽  
Randomised Controlled

IntroductionTwo-stage implant-based breast reconstruction is the most commonly performed postmastectomy reconstructive technique. During the first stage, a tissue expander creates a sufficiently large pocket for the definite breast implant placed in the second stage. Capsular contracture is a common long-term complication associated with implant-based breast reconstruction, causing functional complaints and often requiring reoperation. The exact aetiology is still unknown, but a relationship between the outer surface of the implant and the probability of developing capsular contracture has been suggested. The purpose of this study is to determine whether polyurethane-covered implants result in a different capsular contracture rate than textured implants.Methods and analysisThe Textured Implants versus Polyurethane-covered Implants (TIPI) trial is a multicentre randomised controlled trial with a 1:1 allocation rate and a follow-up of 10 years. A total of 321 breasts of female adults undergoing a two-stage breast reconstruction will be enrolled. The primary outcome is capsular contracture at 10-year follow-up which is graded with the modified Baker classification. It is analysed with survival analysis using a frailty model for clustered interval-censored data, with both an intention-to-treat and per-protocol approach. Secondary outcomes are other complication rates, surgical revision rate, patient satisfaction and quality of life and user-friendliness. Outcomes are measured 2 weeks, 6 months, 1, 2, 3, 5 and 10 years postoperatively. Interim analysis is performed when 1-year, 3-year and 5-year follow-up is completed.Ethics and disseminationThe trial has been reviewed and approved by the Medical Research Ethics Committee of the Erasmus MC, University Medical Centre Rotterdam (MEC-2018-126) and locally by each participating centre. Written informed consent will be obtained from each study participant. The results will be disseminated by publication in peer-reviewed journals.Trial registrationNTR7265.

scholarly journals The potential role of three-dimensional surface imaging as a tool to evaluate aesthetic outcome after Breast Conserving Therapy (BCT)

2017 ◽  
Vol 164 (2) ◽  
pp. 385-393 ◽  
Author(s):  
Rachel L. O’Connell ◽  
Rosa Di Micco ◽  
Komel Khabra ◽  
Lisa Wolf ◽  
Nandita deSouza ◽  
...  
Keyword(s):  
Potential Role ◽  
Three Dimensional ◽  
Breast Conserving Therapy ◽  
Surface Imaging ◽  
Aesthetic Outcome ◽  
Dimensional Surface

Adjuvant Chemotherapy in Two-Stage Tissue Expander/Implant Breast Reconstruction: Does it Affect Final Outcomes?

2020 ◽  
Author(s):  
Kyeong-Tae Lee ◽  
Juyoung Bae ◽  
Byung Joon Jeon ◽  
Jai Kyong Pyon ◽  
Goo-Hyun Mun ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Breast Reconstruction ◽  
Tissue Expander ◽  
Two Stage ◽  
Implant Breast Reconstruction
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