Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
권호 표지
DOI QR코드

DOI QR Code

Prepectoral breast reconstruction

  • Kim, Sung-Eun (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine)
  • 투고 : 2019.06.28
  • 심사 : 2019.08.14
  • 발행 : 2019.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Implant-based breast reconstruction is the most commonly used reconstruction technique after mastectomy. This is because skin-sparing mastectomy has become possible with advancements in oncology. In addition, the development of breast implants and the advent of acellular dermal matrices have reduced postoperative complications and resulted in superior cosmetic results. The most frequently performed surgical breast reconstruction procedure for the past 20 years was the insertion of an implant under the pectoralis major muscle by means of the dual plane approach. However, some patients suffered from pain and animation deformity caused by muscle manipulation. Recently, a prepectoral approach has been used to solve the above problems in select patients, and the results are similar to subpectoral results. However, this technique is not always chosen due to the number of considerations for successful surgery. In this article, we will discuss the emergence of prepectoral breast reconstruction, indications and contraindications, surgical procedures, and outcomes.

키워드

참고문헌

  1. American Society of Plastic Surgeons. 2018 Plastic surgery statistics report [Internet]. Arlington Heights: American Society of Plastic Surgeons; 2019 [cited 2019 Jun 27]. https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf
  2. Schlenker JD, Bueno RA, Ricketson G, Lynch JB. Loss of silicone implants after subcutaneous mastectomy and reconstruction. Plast Reconstr Surg 1978;62:853-61. https://doi.org/10.1097/00006534-197812000-00004
  3. Gruber RP, Kahn RA, Lash H, Maser MR, Apfelberg DB, Laub DR. Breast reconstruction following mastectomy: a comparison of submuscular and subcutaneous techniques. Plast Reconstr Surg 1981;67:312-7. https://doi.org/10.1097/00006534-198103000-00007
  4. Puckett CL, Croll GH, Reichel CA, Concannon MJ. A critical look at capsule contracture in subglandular versus subpectoral mammary augmentation. Aesthetic Plast Surg 1987;11:23-8. https://doi.org/10.1007/BF01575478
  5. Biggs TM, Yarish RS. Augmentation mammaplasty: a comparative analysis. Plast Reconstr Surg 1990;85:368-72. https://doi.org/10.1097/00006534-199003000-00005
  6. Spear SL, Pelletiere CV. Immediate breast reconstruction in two stages using textured, integrated-valve tissue expanders and breast implants. Plast Reconstr Surg 2004;113:2098-103. https://doi.org/10.1097/01.PRS.0000122406.99750.C3
  7. Serra-Renom JM, Fontdevila J, Monner J, Benito J. Mammary reconstruction using tissue expander and partial detachment of the pectoralis major muscle to expand the lower breast quadrants. Ann Plast Surg 2004;53:317-21. https://doi.org/10.1097/01.sap.0000125497.04744.5c
  8. Hammond DC, Capraro PA, Ozolins EB, Arnold JF. Use of a skin-sparing reduction pattern to create a combination skin-muscle flap pocket in immediate breast reconstruction. Plast Reconstr Surg 2002;110:206-11. https://doi.org/10.1097/00006534-200207000-00035
  9. Wainwright DJ. Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns. Burns 1995;21:243-8. https://doi.org/10.1016/0305-4179(95)93866-I
  10. Salzberg CA. Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm). Ann Plast Surg 2006;57:1-5. https://doi.org/10.1097/01.sap.0000214873.13102.9f
  11. Kim IK, Park SO, Chang H, Jin US. Inhibition mechanism of acellular dermal matrix on capsule formation in expander-implant breast reconstruction after postmastectomy radiotherapy. Ann Surg Oncol 2018;25:2279-87. https://doi.org/10.1245/s10434-018-6549-8
  12. Vidya R, Iqbal FM. A guide to prepectoral breast reconstruction: a new dimension to implant-based breast reconstruction. Clin Breast Cancer 2017;17:266-71. https://doi.org/10.1016/j.clbc.2016.11.009
  13. Ter Louw RP, Nahabedian MY. Prepectoral breast reconstruction. Plast Reconstr Surg 2017;140(5 Suppl):51S-9S. https://doi.org/10.1097/PRS.0000000000003942
  14. Storm-Dickerson T, Sigalove N. Prepectoral breast reconstruction: the breast surgeon's perspective. Plast Reconstr Surg 2017;140(6 Suppl):43S-8S. https://doi.org/10.1097/PRS.0000000000004050
  15. Spear SL, Boehmler JH, Bogue DP, Mafi AA. Options in reconstructing the irradiated breast. Plast Reconstr Surg 2008;122:379-88. https://doi.org/10.1097/PRS.0b013e31817d605f
  16. Sigalove S, Maxwell GP, Sigalove NM, Storm-Dickerson TL, Pope N, Rice J, et al. Prepectoral implant-based breast reconstruction and postmastectomy radiotherapy: short-term outcomes. Plast Reconstr Surg Glob Open 2017;5:e1631. https://doi.org/10.1097/GOX.0000000000001631
  17. Sinnott CJ, Persing SM, Pronovost M, Hodyl C, McConnell D, Ott Young A. Impact of postmastectomy radiation therapy in prepectoral versus subpectoral implant-based breast reconstruction. Ann Surg Oncol 2018;25:2899-908. https://doi.org/10.1245/s10434-018-6602-7
  18. Sbitany H, Gomez-Sanchez C, Piper M, Lentz R. Prepectoral breast reconstruction in the setting of postmastectomy radiation therapy: an assessment of clinical outcomes and benefits. Plast Reconstr Surg 2019;143:10-20. https://doi.org/10.1097/PRS.0000000000005140
  19. Gabriel A, Maxwell GP. Implant selection in the setting of prepectoral breast reconstruction. Gland Surg 2019;8:36-42. https://doi.org/10.21037/gs.2018.11.09
  20. Salibian AH, Harness JK, Mowlds DS. Staged suprapectoral expander/implant reconstruction without acellular dermal matrix following nipple-sparing mastectomy. Plast Reconstr Surg 2017;139:30-9. https://doi.org/10.1097/PRS.0000000000002845
  21. Kobraei EM, Cauley R, Gadd M, Austen WG Jr, Liao EC. Avoiding breast animation deformity with pectoralis-sparing subcutaneous direct-to-implant breast reconstruction. Plast Reconstr Surg Glob Open 2016;4:e708. https://doi.org/10.1097/GOX.0000000000000681
  22. Reitsamer R, Peintinger F. Prepectoral implant placement and complete coverage with porcine acellular dermal matrix: a new technique for direct-to-implant breast reconstruction after nipple-sparing mastectomy. J Plast Reconstr Aesthet Surg 2015;68:162-7. https://doi.org/10.1016/j.bjps.2014.10.012
  23. Woo A, Harless C, Jacobson SR. Revisiting an old place: single-surgeon experience on post-mastectomy subcutaneous implant-based breast reconstruction. Breast J 2017;23:545-53. https://doi.org/10.1111/tbj.12790
  24. Eskenazi LB. New options for immediate reconstruction: achieving optimal results with adjustable implants in a single stage. Plast Reconstr Surg 2007;119:28-37. https://doi.org/10.1097/01.prs.0000244744.27540.cc
  25. Glasberg SB. The economics of prepectoral breast reconstruction. Plast Reconstr Surg 2017;140(6 Suppl):49S-52S. https://doi.org/10.1097/PRS.0000000000004051
  26. Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg 1982;69:195-208. https://doi.org/10.1097/00006534-198202000-00001
  27. Frey JD, Alperovich M, Weichman KE, Wilson SC, Hazen A, Saadeh PB, et al. Breast reconstruction using contour fenestrated alloderm: does improvement in design translate to improved outcomes? Plast Reconstr Surg Glob Open 2015;3:e505. https://doi.org/10.1097/GOX.0000000000000482
  28. Sigalove S. Options in acellular dermal matrix-device assembly. Plast Reconstr Surg 2017;140(6 Suppl):39S-42S. https://doi.org/10.1097/PRS.0000000000004049
  29. Macadam SA, Lennox PA. Acellular dermal matrices: use in reconstructive and aesthetic breast surgery. Can J Plast Surg 2012;20:75-89. https://doi.org/10.1177/229255031202000201
  30. Sigalove S, Maxwell GP, Sigalove NM, Storm-Dickerson TL, Pope N, Rice J, et al. Prepectoral implant-based breast reconstruction: rationale, indications, and preliminary results. Plast Reconstr Surg 2017;139:287-94. https://doi.org/10.1097/PRS.0000000000002950
  31. Zhu L, Mohan AT, Abdelsattar JM, Wang Z, Vijayasekaran A, Hwang SM, et al. Comparison of subcutaneous versus submuscular expander placement in the first stage of immediate breast reconstruction. J Plast Reconstr Aesthet Surg 2016;69:e77-86. https://doi.org/10.1016/j.bjps.2016.01.006
  32. Bernini M, Calabrese C, Cecconi L, Santi C, Gjondedaj U, Roselli J, et al. Subcutaneous direct-to-implant breast reconstruction: surgical, functional, and aesthetic results after long-term follow-up. Plast Reconstr Surg Glob Open 2016;3:e574. https://doi.org/10.1097/GOX.0000000000000533
  33. Schaeffer CV, Dassoulas KR, Thuman J, Campbell CA. Early functional outcomes after prepectoral breast reconstruction: a case-matched cohort study. Ann Plast Surg 2019;82(6S Suppl 5):S399-403. https://doi.org/10.1097/SAP.0000000000001669
  34. Darrach H, Kraenzlin F, Khavanin N, Chopra K, Sacks JM. The role of fat grafting in prepectoral breast reconstruction. Gland Surg 2019;8:61-6. https://doi.org/10.21037/gs.2018.10.09
  35. Sbitany H, Piper M, Lentz R. Prepectoral breast reconstruction: a safe alternative to submuscular prosthetic reconstruction following nipple-sparing mastectomy. Plast Reconstr Surg 2017;140:432-43. https://doi.org/10.1097/PRS.0000000000003627
  36. Cattelani L, Polotto S, Arcuri MF, Pedrazzi G, Linguadoca C, Bonati E. One-step prepectoral breast reconstruction with dermal matrix-covered implant compared to submuscular implantation: functional and cost evaluation. Clin Breast Cancer 2018;18:e703-11. https://doi.org/10.1016/j.clbc.2017.11.015

피인용 문헌

  1. Meta-analysis of prepectoral implant-based breast reconstruction: guide to patient selection and current outcomes vol.182, pp.3, 2019, https://doi.org/10.1007/s10549-020-05722-2
  2. Awake breast cancer surgery: strategy in the beginning of COVID-19 emergency vol.28, pp.1, 2021, https://doi.org/10.1007/s12282-020-01137-5
  3. Day-case approach to immediate breast reconstruction: pushing the boundaries of ambulatory breast surgery in the post-COVID-19 era vol.103, pp.6, 2021, https://doi.org/10.1308/rcsann.2020.7152