Abstract | BACKGROUND: METHODS: Patients undergoing tissue expander breast reconstruction with either ADM or dermal autografts were enrolled. Autografts were harvested from the lower abdomen. The capsular contracture rate was assessed via physical examination using the Baker scale. Standardized patient photographs were scored for aesthetic appearance on a 7-point Likert scale by blinded female observers. The ADM and autograft groups were compared using Student t test. Significance was defined as P < 0.05. RESULTS: Forty-eight patients were enrolled (76 breasts). The average follow-up time for the ADM group was 9.6 months and 9.9 months for the dermal autograft group. Twenty-seven patients received ADM, and 21 patients received dermal autograft. Capsular contracture scores were identical between the 2 groups (mean Baker grade = 1.15, P = 0.55). The average long-term aesthetic outcome score for dermal autograft-assisted breast reconstruction was 3.85, compared to 3.79 for ADM-assisted reconstruction. This difference was not statistically significant (P = 0.87). CONCLUSIONS:
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Authors | Michael P Lynch, Michael T Chung, Brian D Rinker |
Journal | Annals of plastic surgery
(Ann Plast Surg)
Vol. 74 Suppl 4
Pg. S214-7
(Jun 2015)
ISSN: 1536-3708 [Electronic] United States |
PMID | 25389715
(Publication Type: Comparative Study, Evaluation Study, Journal Article)
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Topics |
- Acellular Dermis
- Adult
- Aged
- Breast Implantation
(instrumentation, methods)
- Esthetics
- Female
- Follow-Up Studies
- Humans
- Implant Capsular Contracture
(epidemiology, etiology)
- Middle Aged
- Outcome Assessment, Health Care
- Single-Blind Method
- Skin Transplantation
- Tissue Expansion
- Transplantation, Autologous
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