作者
Sumanas W Jordan, Nima Khavanin, Neil A Fine, John YS Kim
发表日期
2014/8/1
期刊
Plastic and Reconstructive Surgery
卷号
134
期号
2
页码范围
178-188
出版商
LWW
简介
Background:
Acellular dermal matrix use has gained widespread acceptance—despite higher material costs—because of its ease of use and potential for enhanced cosmesis. The authors developed a resource-sensitive algorithm for selective acellular dermal matrix use with indications and contraindications based on body mass index, breast size, radiation therapy, flap vascularity, and pectoralis anatomy.
Methods:
The algorithm incorporates preoperative and intraoperative decision points. Complication rates and aesthetic scores were compared for procedures performed before and after adoption of the algorithm. Multiple logistic regression was used to determine the independent influence of the algorithm on postoperative outcomes.
Results:
One hundred ninety-three breasts underwent reconstruction before and 179 underwent reconstruction after implementation of the algorithm. Overall complication rates did not …
学术搜索中的文章
SW Jordan, N Khavanin, NA Fine, JYS Kim - Plastic and Reconstructive Surgery, 2014