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2003 MAR 17 - (NewsRx.com & NewsRx.net) -- Immediate breast reconstruction using expander implants is highly successful.
According to recent research from England, "Immediate breast reconstruction is offered to the majority of women requiring a mastectomy for cancer treatment. Improvements in implant technology have seen the evolution of shaped, fixed volume implants, and permanent expanders. The theoretical benefits of biodimensional anatomical expander implants include better reconstructed breast form, the potential for achieving this at a single procedure, and the avoidance of a contralateral procedure as a result of improved ipsilateral cosmesis."
"The aim of the present study was to assess outcome after immediate breast reconstruction using the McGhan 150 permanent expander implant. A total of 107 consecutive patients (129 breast reconstructions) were studied over a 30 mo period; 49 patients (68 reconstructions) had submuscular implant placement alone, and 58 patients (61 reconstructions) had an implant in conjunction with a latissimus dorsi flap. The mean patient age was 47 years (range, 22-72 yrs) and the mean followup was 18 mo (range, 6-40 mo). Outcome was assessed in the following 4 ways: geometric measurements, evaluation of photographs by 4 independent observers, linear numerical analogue scale, and a quality-of-life questionnaire.
"Geometric measurements after surgery showed median differences that were highly consistent with good symmetry. Transverse breast width difference between breasts was 0.35 cm, vertical breast height difference was 0.8 cm, sternal notch-to-nipple distance difference was 0.6 cm, midclavicular line-to-nipple distance difference was 0.5 cm, nipple-to-inframammary crease distance difference was 0.5 cm, midline-to-nipple distance difference was 0 cm, and projection difference was 0 cm. Photographic assessment by 4 observers who evaluated shape, cleavage, symmetry, and overall outcome produced R correlation values of 0.73-0.81. More than 75% of each of these parameters was scored as good or ...