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Comparative Study
. 2010 Feb;125(2):547-556.
doi: 10.1097/PRS.0b013e3181c91d27.

A comparative analysis of tissue expander reconstruction of burned and unburned chest and breasts using endoscopic and open techniques

Benjamin Levi  1 , David L Brown, Paul S Cederna
Affiliations
Comparative Study

A comparative analysis of tissue expander reconstruction of burned and unburned chest and breasts using endoscopic and open techniques

Benjamin Levi et al. Plast Reconstr Surg. 2010 Feb.

Abstract

Background: Tissue expansion is not widely accepted for reconstruction of breast and chest burn deformities because of concerns about the capacity of compromised skin to stretch without complications. The authors hypothesized that tissue expander reconstruction of breast and chest burn deformities is reliable and has outcomes similar to those of expansion of similar nonburned tissues. The authors used congenital breast anomalies as a control because they share similar reconstructive challenges: constricted skin envelope and gross malformation of the parenchyma and nipple-areola complex. The authors also hypothesized that endoscopic techniques may improve outcomes for breast and chest burn reconstruction.

Methods: A retrospective review was completed of tissue expander reconstructions of burn and congenital breast deformities. All reconstructions used an endoscopic or open tissue expander placement and subsequent local tissue rearrangements. Data were analyzed using parametric and nonparametric methods.

Results: For reconstruction of burn deformities, 15 women had 37 expanders placed. Within the congenital breast cohort, 20 patients had 22 tissue expanders placed. There were no statistical differences in follow-up time, body mass index, or comorbidities between burn and congenital patients. There was no statistical difference in major complications (p = 0.72) between these groups. Within the burn deformity cohort, endoscopic reconstructions had fewer major complications (p = 0.04), required less operative time per expander (p < 0.001), and required less time to expand (p = 0.021).

Conclusions: The authors believe that breast and chest burn deformities can be safely reconstructed with tissue expanders without increased complications over expander reconstruction of the congenital breast. Furthermore, endoscopic techniques may be superior for burn deformities because of improved visualization and remote incisions.

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References

    1. Kunert P, Schneider W, Flory J. Principles and procedures in female breast reconstruction in the young child's burn injury. Aesthetic Plast Surg. 1988;12:101–106.
    1. MacLennan SE, Wells MD, Neale HW. Reconstruction of the burned breast. Clin Plast Surg. 2000;27:113–119.
    1. McCauley RL, Beraja V, Rutan RL, et al. Longitudinal assessment of breast development in adolescent female patients with burns involving the nipple-areolar complex. Plast Reconstr Surg. 1989;83:676–680.
    1. Neale HW, Smith GL, Gregory RO, et al. Breast reconstruction in the burned adolescent female (an 11-year, 157 patient experience). Plast Reconstr Surg. 1982;70:718–724.
    1. Guan WX, Jin YT, Cao HP. Reconstruction of postburn female breast deformity. Ann Plast Surg. 1988;21:65–69.

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