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| Name | Breast Reconstruction for Beautify and Treatment |
| Video Uploader | Video From MedicineHealth 360 |
| Upload Date | This Video Uploaded At 29-11-2023 16:27:52 |
| Video Discription | Breast Reconstruction • integral part of breast cancer treatment • two basic methods: implants (1-stage or 2-stage) or autologous tissue (see Table 27) • may also require breast balancing procedure and nipple areola reconstruction Pre-Reconstruction Considerations • radiation: treatment before and after mastectomy is a relative contraindication to alloplastic reconstruction • recipient tissue: skin sparing mastectomy allows for the use of implants without tissue expanders (1-stage process) • donor tissue: limited availability of suitable donor tissue (lack of tissue, scar, previous surgery that interferes with blood supply) may prevent the use of autologous tissue reconstruction • timing (immediate vs. delayed) • contralateral breast: may not be possible to reconstruct a breast of the same size or shape as the contralateral breast. Breast reduction or mastopexy may be considered in opposite breast (see Table 28) • other considerations: patient’s age and co-morbidities, prognosis, body weight, characteristics of chest wall and patient’s attitude Options for Breast Reconstruction Procedure Definition Surgical Details Other Comments Implant Use of synthetic material (silicone or saline implants) With expanders (2 stages): Use tissue expanders before replacement with implants to help facilitate breast ptosis. (see Breast Tissue Expanders, PL33) Without expanders (1 stage): In skin-sparing mastectomy, enough skin is available for immediate placement of implant Complications: capsular contraction (foreign body reaction to implants), rupture or leakage of implant, increased risk of infection, 35% revision rate over 5 yr Autologous Tissue Use of patient’s own tissue Many flap options: DIEP, TRAM, latissimus dorsi, SIEA, SGAP, and IGAP Offers reduced long-term morbidity and natural consistency Nipple Areola Reconstruction Final stage of breast reconstruction Usually require tattooing for areola reconstruction Local vs. distant flap/graft: 1. Local: fish tail or skate flap most common; these flaps allow simultaneous nipple and areola reconstruction 2. Distant: opposite nipple, earlobe, abdominal skin, costal cartilage, labia Usually performed 3 mo postreconstruction Diplopia can present late in orbital blowout fractures. Patients may require a balancing procedure on contralateral side |
| Category | Education |
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