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Published in: European Journal of Plastic Surgery 3/2013

01-03-2013 | Case Report

Successful salvage of exposed breast implants in previously irradiated patients using local fasciocutaneous flaps

Authors: Nicholas G. Rabey, Charles M. Malata

Published in: European Journal of Plastic Surgery | Issue 3/2013

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Abstract

Radiotherapy is used commonly in the treatment of breast cancer but can damage the surrounding tissues. For patients who have had implant-based breast reconstruction, this may result in tissue breakdown with exposure of the prosthesis. We present two cases in which an implant has become exposed following radiation therapy and been successfully salvaged with local fasciocutaneous flaps. The patients were aged 50 and 59 and had excellent results after at least 24-months follow-up. We aim to show that in selected patients local flaps remain a useful option in implant salvage in the irradiated breast.
Level of Evidence: Level V, therapeutic study.
Literature
1.
go back to reference Malata CM, McIntosh SA, Purushotham AD (2000) Immediate breast reconstruction after mastectomy for cancer. Br J Surg 87(11):1455–1472PubMedCrossRef Malata CM, McIntosh SA, Purushotham AD (2000) Immediate breast reconstruction after mastectomy for cancer. Br J Surg 87(11):1455–1472PubMedCrossRef
2.
go back to reference Malata CM, Feldberg L, Coleman DJ, Foo IT, Sharpe DT (1997) Textured or smooth implants for breast augmentation? Three year follow-up of a prospective randomised controlled trial. Br J Plast Surg 50(2):99–105PubMedCrossRef Malata CM, Feldberg L, Coleman DJ, Foo IT, Sharpe DT (1997) Textured or smooth implants for breast augmentation? Three year follow-up of a prospective randomised controlled trial. Br J Plast Surg 50(2):99–105PubMedCrossRef
3.
go back to reference Whitfield GA, Horan G, Irwin MS, Malata CM, Wishart GC, Wilson CB (2009) Incidence of severe capsular contracture following implant-based immediate breast reconstruction with or without postoperative chest wall radiotherapy using 40 Gray in 15 fractions. Radiother Oncol 90(1):141–147PubMedCrossRef Whitfield GA, Horan G, Irwin MS, Malata CM, Wishart GC, Wilson CB (2009) Incidence of severe capsular contracture following implant-based immediate breast reconstruction with or without postoperative chest wall radiotherapy using 40 Gray in 15 fractions. Radiother Oncol 90(1):141–147PubMedCrossRef
4.
go back to reference Cordeiro PG, McCarthy CM (2006) A single surgeon's 12-year experience with tissue expander/implant breast reconstruction: part II. An analysis of long-term complications, aesthetic outcomes, and patient satisfaction. Plast Reconstr Surg 118(4):832–839PubMedCrossRef Cordeiro PG, McCarthy CM (2006) A single surgeon's 12-year experience with tissue expander/implant breast reconstruction: part II. An analysis of long-term complications, aesthetic outcomes, and patient satisfaction. Plast Reconstr Surg 118(4):832–839PubMedCrossRef
5.
go back to reference Bennett SP, Fitoussi AD, Berry MG, Couturaud B, Salmon RJ (2011) Management of exposed, infected implant-based breast reconstruction and strategies for salvage. J Plast Reconstr Aesthet Surg 64(10):1270–1277PubMedCrossRef Bennett SP, Fitoussi AD, Berry MG, Couturaud B, Salmon RJ (2011) Management of exposed, infected implant-based breast reconstruction and strategies for salvage. J Plast Reconstr Aesthet Surg 64(10):1270–1277PubMedCrossRef
6.
7.
go back to reference Spear SL, Seruya M (2010) Management of the infected or exposed breast prosthesis: a single surgeon's 15-year experience with 69 patients. Plast Reconstr Surg 125(4):1074–1084PubMedCrossRef Spear SL, Seruya M (2010) Management of the infected or exposed breast prosthesis: a single surgeon's 15-year experience with 69 patients. Plast Reconstr Surg 125(4):1074–1084PubMedCrossRef
8.
go back to reference Rempel JH (1978) Treatment of an exposed breast implant by muscle flap and by fascia graft. Ann Plast Surg 1(2):229–232PubMedCrossRef Rempel JH (1978) Treatment of an exposed breast implant by muscle flap and by fascia graft. Ann Plast Surg 1(2):229–232PubMedCrossRef
9.
go back to reference Planas J, Carbonell A (1995) Salvaging the exposed mammary prosthesis. Aesthetic Plast Surg 19(6):535–540PubMedCrossRef Planas J, Carbonell A (1995) Salvaging the exposed mammary prosthesis. Aesthetic Plast Surg 19(6):535–540PubMedCrossRef
10.
go back to reference Evans GR, Schusterman MA, Kroll SS, Miller MJ, Reece GP, Robb GL et al (1995) Reconstruction and the radiated breast: is there a role for implants? Plast Reconstr Surg 96(5):1111–1115, discussion, 6–8PubMedCrossRef Evans GR, Schusterman MA, Kroll SS, Miller MJ, Reece GP, Robb GL et al (1995) Reconstruction and the radiated breast: is there a role for implants? Plast Reconstr Surg 96(5):1111–1115, discussion, 6–8PubMedCrossRef
11.
go back to reference Nahabedian MY, Tsangaris T, Momen B, Manson PN (2003) Infectious complications following breast reconstruction with expanders and implants. Plast Reconstr Surg 112(2):467–476PubMedCrossRef Nahabedian MY, Tsangaris T, Momen B, Manson PN (2003) Infectious complications following breast reconstruction with expanders and implants. Plast Reconstr Surg 112(2):467–476PubMedCrossRef
12.
go back to reference Kronowitz SJ, Robb GL (2009) Radiation therapy and breast reconstruction: a critical review of the literature. Plast Reconstr Surg 124(2):395–408PubMedCrossRef Kronowitz SJ, Robb GL (2009) Radiation therapy and breast reconstruction: a critical review of the literature. Plast Reconstr Surg 124(2):395–408PubMedCrossRef
Metadata
Title
Successful salvage of exposed breast implants in previously irradiated patients using local fasciocutaneous flaps
Authors
Nicholas G. Rabey
Charles M. Malata
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 3/2013
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-012-0718-y

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