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Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities

Several methods have been described for the correction of congenital thoracic wall deformities. Our aim was to investigate the feasibility and clinical results of using standard anatomic breast implants with modified anatomic positioning according to the defect in congenital thoracic wall deformitie...

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Autores principales: Thuerlimann, Alice, Tremp, Mathias, Oranges, Carlo M., Schaefer, Dirk J., Kalbermatten, Daniel F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889469/
https://www.ncbi.nlm.nih.gov/pubmed/29632783
http://dx.doi.org/10.1097/GOX.0000000000001605
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author Thuerlimann, Alice
Tremp, Mathias
Oranges, Carlo M.
Schaefer, Dirk J.
Kalbermatten, Daniel F.
author_facet Thuerlimann, Alice
Tremp, Mathias
Oranges, Carlo M.
Schaefer, Dirk J.
Kalbermatten, Daniel F.
author_sort Thuerlimann, Alice
collection PubMed
description Several methods have been described for the correction of congenital thoracic wall deformities. Our aim was to investigate the feasibility and clinical results of using standard anatomic breast implants with modified anatomic positioning according to the defect in congenital thoracic wall deformities. Between 2014 and 2015, 5 patients diagnosed with pectus excavatum (PE, n = 4) or pectus carinatum (PC, n = 1) and breast asymmetry or hypoplasia were evaluated. In all patients, a submammary incision and dual-plane subpectoral placement of texturized, anatomic implants were performed. In patients with PE, the lower pole of the implant was positioned medially to compensate for the caved chest. In patients with PC, the lower pole of the anatomic implant was positioned laterally to compensate for the prominent sternum. Outcome measures were satisfaction, minor and major complications, and morbidity. The mean surgery time was 95 ± 14 minutes, and the mean implant volume was 287 ± 56 cm(3) (273 ± 60 cm(3) on the right side and 305 ± 60 cm(3) on the left side). After a median follow-up of 25 months (range: 2–35), all patients healed uneventfully, and a satisfactory correction of the thoracic wall deformity was achieved. Thus, by adjusting the lower pole of anatomic breast implants in a horizontal plane according to the thoracic defect, we showed satisfactory results. Our technique has a low complication rate and can be recommended for the correction of mild to moderate PE or PC.
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spelling pubmed-58894692018-04-09 Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities Thuerlimann, Alice Tremp, Mathias Oranges, Carlo M. Schaefer, Dirk J. Kalbermatten, Daniel F. Plast Reconstr Surg Glob Open Ideas and Innovations Several methods have been described for the correction of congenital thoracic wall deformities. Our aim was to investigate the feasibility and clinical results of using standard anatomic breast implants with modified anatomic positioning according to the defect in congenital thoracic wall deformities. Between 2014 and 2015, 5 patients diagnosed with pectus excavatum (PE, n = 4) or pectus carinatum (PC, n = 1) and breast asymmetry or hypoplasia were evaluated. In all patients, a submammary incision and dual-plane subpectoral placement of texturized, anatomic implants were performed. In patients with PE, the lower pole of the implant was positioned medially to compensate for the caved chest. In patients with PC, the lower pole of the anatomic implant was positioned laterally to compensate for the prominent sternum. Outcome measures were satisfaction, minor and major complications, and morbidity. The mean surgery time was 95 ± 14 minutes, and the mean implant volume was 287 ± 56 cm(3) (273 ± 60 cm(3) on the right side and 305 ± 60 cm(3) on the left side). After a median follow-up of 25 months (range: 2–35), all patients healed uneventfully, and a satisfactory correction of the thoracic wall deformity was achieved. Thus, by adjusting the lower pole of anatomic breast implants in a horizontal plane according to the thoracic defect, we showed satisfactory results. Our technique has a low complication rate and can be recommended for the correction of mild to moderate PE or PC. Wolters Kluwer Health 2017-12-28 /pmc/articles/PMC5889469/ /pubmed/29632783 http://dx.doi.org/10.1097/GOX.0000000000001605 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Ideas and Innovations
Thuerlimann, Alice
Tremp, Mathias
Oranges, Carlo M.
Schaefer, Dirk J.
Kalbermatten, Daniel F.
Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities
title Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities
title_full Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities
title_fullStr Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities
title_full_unstemmed Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities
title_short Intentional Lower Pole Rotation of Anatomic Breast Implants in Chest Wall Deformities
title_sort intentional lower pole rotation of anatomic breast implants in chest wall deformities
topic Ideas and Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889469/
https://www.ncbi.nlm.nih.gov/pubmed/29632783
http://dx.doi.org/10.1097/GOX.0000000000001605
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