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Weintraub JL, Kahn DM. The timing of implant exchange in the development of capsular contracture after breast reconstruction. Eplasty. 2008;8:e31
Weintraub, J. L., & Kahn, D. M. (2008). The timing of implant exchange in the development of capsular contracture after breast reconstruction. Eplasty, 8e31.
Weintraub, Jennifer L, and Kahn, David M. "The timing of implant exchange in the development of capsular contracture after breast reconstruction." Eplasty vol. 8 (2008): e31.
Weintraub JL, Kahn DM. The timing of implant exchange in the development of capsular contracture after breast reconstruction. Eplasty. 2008 May 29;8:e31. PMID: 18587490; PMCID: PMC2424279.
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Eplasty. 2008 May 29;8:e31.

The timing of implant exchange in the development of capsular contracture after breast reconstruction.

Eplasty

Jennifer L Weintraub, David M Kahn

Affiliations

  1. Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA, USA. [email protected]

PMID: 18587490 PMCID: PMC2424279

Abstract

OBJECTIVE: Capsular contracture is a common complication associated with reconstructive breast surgery. The optimal time interval between the completion of tissue expansion and placement of the permanent implant is arbitrary and incompletely studied in the literature. The aim of the study was to determine whether the time interval between completion of expansion and placement of the permanent implant would affect the incidence of capsular contracture.

METHODS: We conducted a retrospective study of 112 patients with breast cancer, including 140 breasts, who underwent postmastectomy tissue expander placement between 1997 and 2004. All patients underwent replacement of tissue expander with a permanent prosthesis. Data were collected retrospectively, including whether the patient smoked, underwent radiation therapy, had saline or silicone implant reconstruction, required reoperation after tissue expander placement or after permanent implant placement, Baker classification, and the interval between completion of expansion and placement of permanent implant.

RESULTS: We used a logistic regression model to incorporate the predictors of capsular contracture. Keeping all other predictors constant, we found that the time interval between implant exchange had no effect on capsular contracture. The only significant predictor of capsular contracture was whether the patient required a reoperation after the permanent implant was placed (P = .0001).

CONCLUSIONS: Allowing the capsule around a tissue expander to mature does not significantly affect development of capsular contracture. However, a complication that necessitates disrupting the periprosthetic capsule of the permanent implant with an operation significantly increases odds of developing contracture.

References

  1. J Long Term Eff Med Implants. 1991;1(2):155-69 - PubMed
  2. Plast Reconstr Surg. 1982 Nov;70(5):588-94 - PubMed
  3. Plast Reconstr Surg. 1982 Feb;69(2):195-208 - PubMed
  4. Aesthetic Plast Surg. 1999 May-Jun;23(3):197-206 - PubMed
  5. Clin Plast Surg. 1988 Oct;15(4):549-55 - PubMed
  6. Plast Reconstr Surg. 1993 Mar;91(3):404-7 - PubMed
  7. Br J Plast Surg. 1989 Sep;42(5):591-4 - PubMed
  8. Plast Reconstr Surg. 2006 Apr;117(4):1214-9; discussion 1220-1 - PubMed
  9. Aesthetic Plast Surg. 2006 Sep-Oct;30(5):513-20 - PubMed
  10. Plast Reconstr Surg. 1997 Nov;100(6):1566-9 - PubMed
  11. Plast Reconstr Surg. 1990 Mar;85(3):373-7 - PubMed
  12. Aesthetic Plast Surg. 1983;7(2):113-6 - PubMed
  13. Br J Plast Surg. 1992 May-Jun;45(4):279-83 - PubMed
  14. Plast Reconstr Surg. 1996 Jun;97(7):1427-33; discussion 1434-5 - PubMed
  15. Plast Reconstr Surg. 1997 Jun;99(7):1934-9 - PubMed
  16. Clin Plast Surg. 1987 Jul;14(3):509-18 - PubMed
  17. Aesthetic Plast Surg. 1987;11(2):101-5 - PubMed
  18. Plast Reconstr Surg. 1981 Jul;68(1):34-42 - PubMed
  19. Ann Plast Surg. 1994 Feb;32(2):118-25 - PubMed
  20. Br J Plast Surg. 1991 Aug-Sep;44(6):444-8 - PubMed
  21. Plast Reconstr Surg. 1978 Nov;62(5):702-5 - PubMed
  22. Plast Reconstr Surg. 2000 Apr;105(4):1542-52; discussion 1553-4 - PubMed
  23. Ann Plast Surg. 1980 Aug;5(2):115-22 - PubMed
  24. Plast Reconstr Surg. 1986 Jun;77(6):919-32 - PubMed
  25. Plast Reconstr Surg. 2000 Sep;106(4):792-7 - PubMed
  26. Plast Reconstr Surg. 2004 Jun;113(7):2098-103 - PubMed
  27. Plast Reconstr Surg. 1997 Sep;100(4):1019-27 - PubMed
  28. Aesthetic Plast Surg. 1992 Spring;16(2):173-9 - PubMed
  29. Plast Reconstr Surg. 2006 Sep 15;118(4):874-884 - PubMed
  30. Plast Reconstr Surg. 1983 Jul;72(1):27-31 - PubMed
  31. Plast Reconstr Surg. 1995 Apr;95(4):712-8 - PubMed
  32. Plast Reconstr Surg. 1995 Nov;96(6):1317-25 - PubMed
  33. South Med J. 1993 Aug;86(8):932-44 - PubMed
  34. Plast Reconstr Surg. 1993 Apr;91(4):663-70; discussion 671-2 - PubMed
  35. Aesthetic Plast Surg. 1987;11(1):23-8 - PubMed
  36. Breast J. 2004 Mar-Apr;10(2):118-22 - PubMed
  37. Plast Reconstr Surg. 1991 May;87(5):879-84 - PubMed

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