Acellular Dermal Matrix in Postmastectomy Breast Reconstruction
2014
markdownabstract__Abstract__
Over the last decade the use of acellular dermal matrix (ADM) in reconstructive breast
surgery has been transformative. Some authors have gone as far as to suggest that it
is the single most important advancement in prosthetic breast reconstruction. ADMs
are able to provide numerous solutions for the many issues related to inadequate tissue
coverage and support such as capsular contracture, implant rippling, and implant
malposition. The notion of a living bra is a fascinating one for both plastic surgeons
and patients alike.1 This advent has mirrored the increased use of nipple and skin sparing
mastectomy, BRCA testing, and superior implants where patients are achieving better
outcomes than with breast conserving treatments with lumpectomy and radiation.
Despite the numerous advantages associated with ADM use, controversies remain. As
such this thesis will focus on the current state of the art for ADM use in post-mastectomy
breast reconstruction.
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