Complications of silicone prosthesis implant/expander breast reconstruction and related treatments
10.3760/cma.j.issn.1671-0290.2024.04.015
- VernacularTitle:硅凝胶假体植入或扩张器乳房再造术并发症及处理措施
- Author:
Kai YANG
1
;
Xiancheng WANG
;
Yang SUN
;
Xiang XIONG
;
Xianxi MENG
;
Wenbo LI
;
Xiaofang LI
;
Borong FANG
Author Information
1. 中南大学湘雅二医院整形美容（烧伤）外科，长沙 410011
- Keywords:
Mammaplasty;
Prostheses and implants;
Breast implantation;
Tissue expansion devices;
Postoperative complications
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(4):370-376
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the complications and related etiologies after immediate silicone implant and immediate two-stage tissue expander/implant breast reconstruction.Methods:A retrospective study was conducted in 23 patients who underwent implant or tissue expander/implant breast reconstruction surgery from June 2016 to October 2019. The etiology, medical history and clinical symptoms of each patient were analyzed and related treatments were carried out depending on its complication.Results:All patients were followed up for 3-12 months after surgery. Among the 23 patients, a total of 8 patients had different types of postoperative complications. Partial necrosis of the nipple-areola complex occurred in 1 case, postoperative infection in 2 cases, 2 patients experienced deviation of the implant or tissue expander and displacement of the nipple-areola complex in 3 cases. All complications were treated accordingly, and a good therapeutic effect was finally maintained.Conclusions:For patients with complications after immediate silicone implant and two-stage tissue expander/implant breast reconstruction, treatment should be carried out according to the causes of complications in time. In this way, patient can get better prognosis.
