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The Language of Implant-based Breast Reconstruction: Can We Do Better?

The management of breast cancer has experienced tremendous changes in the last half-century. In today’s multimodal approach to breast cancer, patients have the prospect of achieving a sense of normalcy after mastectomy thanks to advancements in oncology and breast reconstruction. Although the oncolo...

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Autores principales: Prabhu, Shamit S., Llull, Ramon, Katz, Adam J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426813/
https://www.ncbi.nlm.nih.gov/pubmed/36051535
http://dx.doi.org/10.1097/GOX.0000000000004482
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author Prabhu, Shamit S.
Llull, Ramon
Katz, Adam J.
author_facet Prabhu, Shamit S.
Llull, Ramon
Katz, Adam J.
author_sort Prabhu, Shamit S.
collection PubMed
description The management of breast cancer has experienced tremendous changes in the last half-century. In today’s multimodal approach to breast cancer, patients have the prospect of achieving a sense of normalcy after mastectomy thanks to advancements in oncology and breast reconstruction. Although the oncologic management of breast cancer has evolved over multiple centuries, implant-based breast reconstruction (IBBR) has only been around since the 1960s. The last half century has seen the conception of multiple techniques, novel devices, and new possibilities in hopes of achieving outcomes that are similar to or even better than the patient’s premorbid state. However, with all these changes, a new problem has arisen—inconsistencies in the literature on how IBBR is described. In this article, we will discuss potential sources of confusion in the IBBR literature and lexicon, highlighting specific terms that may have multiple meanings or interpretations depending on perspective, context, and/or intent. As a first step toward clarifying what we perceive as a muddied landscape, we propose a naming convention for IBBR that centers around four important variables especially pertinent to IBBR—the type of mastectomy performed, the timing of reconstruction, the type of device that is placed, and the pocket location for device placement. We believe that adoption of a more standardized, consistent, and descriptive lexicon for IBBR will help provide clearer communication and easier comparisons in the literature so that we may continue to deliver the best outcomes for our patients.
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spelling pubmed-94268132022-08-31 The Language of Implant-based Breast Reconstruction: Can We Do Better? Prabhu, Shamit S. Llull, Ramon Katz, Adam J. Plast Reconstr Surg Glob Open Breast The management of breast cancer has experienced tremendous changes in the last half-century. In today’s multimodal approach to breast cancer, patients have the prospect of achieving a sense of normalcy after mastectomy thanks to advancements in oncology and breast reconstruction. Although the oncologic management of breast cancer has evolved over multiple centuries, implant-based breast reconstruction (IBBR) has only been around since the 1960s. The last half century has seen the conception of multiple techniques, novel devices, and new possibilities in hopes of achieving outcomes that are similar to or even better than the patient’s premorbid state. However, with all these changes, a new problem has arisen—inconsistencies in the literature on how IBBR is described. In this article, we will discuss potential sources of confusion in the IBBR literature and lexicon, highlighting specific terms that may have multiple meanings or interpretations depending on perspective, context, and/or intent. As a first step toward clarifying what we perceive as a muddied landscape, we propose a naming convention for IBBR that centers around four important variables especially pertinent to IBBR—the type of mastectomy performed, the timing of reconstruction, the type of device that is placed, and the pocket location for device placement. We believe that adoption of a more standardized, consistent, and descriptive lexicon for IBBR will help provide clearer communication and easier comparisons in the literature so that we may continue to deliver the best outcomes for our patients. Lippincott Williams & Wilkins 2022-08-30 /pmc/articles/PMC9426813/ /pubmed/36051535 http://dx.doi.org/10.1097/GOX.0000000000004482 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/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) (https://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 Breast
Prabhu, Shamit S.
Llull, Ramon
Katz, Adam J.
The Language of Implant-based Breast Reconstruction: Can We Do Better?
title The Language of Implant-based Breast Reconstruction: Can We Do Better?
title_full The Language of Implant-based Breast Reconstruction: Can We Do Better?
title_fullStr The Language of Implant-based Breast Reconstruction: Can We Do Better?
title_full_unstemmed The Language of Implant-based Breast Reconstruction: Can We Do Better?
title_short The Language of Implant-based Breast Reconstruction: Can We Do Better?
title_sort language of implant-based breast reconstruction: can we do better?
topic Breast
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426813/
https://www.ncbi.nlm.nih.gov/pubmed/36051535
http://dx.doi.org/10.1097/GOX.0000000000004482
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