关键词: 乳腺肿瘤, 假体植入乳房重建, 覆盖, 网片

Abstract:

Prosthesis coverage and application of artificial materials in implant based breast reconstruction        GUAN Shan, WANG Yu, ZHANG Bing, et al. Breast Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100176, China
Corresponding author: WANG Yu, E-mail:jackymoli613@163.com
Abstract    Breast reconstruction is an essential part of the treatment for breast cancer. For implant based breast reconstruction (IBBR),  pectoralis effectively provids sufficient support and increased coverage thickness for subpectoral implantation of prosthesis,and also reduces the possibility of implant exposure caused by wound dehiscence or infection and even effectively prevents the prosthesis displacement and reduces capsular contracture. With the development of materials science, artificial materials have been widely adopted as an extension to pectoralis or as an alternative cover for the prosthesis in IBBR. For patients who need to implanted larger volume prostheses, the technique of artificial materials together with pectoral muscles can "extend" muscle tissue, cover the prostheses with tension-free, and remodel the fuller submammary folds. For patients with a certain thickness of skin flap, artificial materials can be used to completely wrap the prosthesis before prepectoral implantation of prosthesis, which reduces the impairment of the muscle and retains muscle functionality. In conclusion, reasonable layer of the prosthesis implantation (subpectoral/prepectoral) and application of artificial materials to effectively cover the prosthesis in IBBR, could be considered to reduce the complications and achieve the aesthetic outcomes.

Key words: breast neoplasms, implant-based breast reconstruction, coverage, mesh