Advances of prepectoral breast reconstruction in patients received radiotherapy
10.3760/cma.j.cn114453-20220901-00273
- VernacularTitle:放射治疗患者胸大肌前假体乳房再造的研究进展
- Author:
Xiaomu MA
1
;
Chunjun LIU
Author Information
1. 中国医学科学院北京协和医学院整形外科医院乳腺综合整形科，北京 100144
- Keywords:
Mammaplasty;
Prepectoral breast reconstruction;
Radiotherapy;
Safety;
Efficacy
- From:
Chinese Journal of Plastic Surgery
2024;40(4):455-460
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, with the development of autologous fat grafting and the use of scaffolds, prepectoral breast reconstruction (PBR) has regained popularity and ignited a heated discussion. Several meta-analyses have shown that PBR is safe when compared with subpectoral breast reconstruction, the standard of prosthetic breast reconstruction. There are many advantages in PBR such as mild pain and no dynamic deformity. Radiotherapy, required by up to 40% of patients, is a routine treatment for breast cancer. However, the safety and efficacy of PBR in this population remain inconclusive. Therefore, we reviewed clinical researches concerning PBR in patients who received radiotherapy, with the purpose to provide reference for clinical application and future study of PBR. We analysed the following five aspects: the influence of radiation on soft tissue and the implant, indications and contraindications, the research status of PBR in patients with radiotherapy, the influence of fat grafting on PBR in patients with radiotherapy and the limitation of the present study.
