دورية أكاديمية
أعرض في EDS

Toward a Consensus Aproach for Assessing Capsular Contracture Severity and Progression: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: Toward a Consensus Aproach for Assessing Capsular Contracture Severity and Progression: A Systematic Review.
المؤلفون: Mohan AS; From the Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine., Sullivan J; Division of Plastic and Reconstructive Surgery, Washington University in St. Louis School of Medicine., Tenenbaum MM; Division of Plastic and Reconstructive Surgery, Washington University in St. Louis School of Medicine., Broderick KB; From the Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine., Myckatyn TM; Division of Plastic and Reconstructive Surgery, Washington University in St. Louis School of Medicine.
المصدر: Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Jan 01; Vol. 153 (1), pp. 7-22. Date of Electronic Publication: 2023 Apr 20.
نوع المنشور: Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-4242 (Electronic) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore : Williams & Wilkins,
مواضيع طبية MeSH: Breast Implants*/adverse effects , Breast Implantation*/adverse effects , Breast Implantation*/methods , Contracture*/diagnosis , Contracture*/etiology , Contracture*/pathology, Humans ; Consensus ; Breast/pathology ; Implant Capsular Contracture/diagnosis ; Implant Capsular Contracture/etiology
مستخلص: Background: Breast implants are the most commonly used medical devices in plastic surgery, and capsular contracture (CC) is one of the most common complications. However, our assessment of CC is based largely on Baker grade, which is problematically subjective and affords only four possible values.
Methods: The authors performed a systematic review concluding in September of 2021 in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. It identified 19 articles that propose approaches to measuring CC.
Results: In addition to Baker grade, the authors identified several modalities reported to measure CC. These included magnetic resonance imaging, ultrasonography, sonoelastography, mammacompliance measuring devices, applanation tonometry, histologic evaluation, and serology. Capsule thickness and other measures of CC inconsistently correlated with Baker grade, whereas the presence of synovial metaplasia was consistently associated with Baker grade I and II, but not III and IV capsules.
Conclusions: There remains no particular method to reliably and specifically measure the contracture of capsules that form around breast implants. As such, we would recommend that research investigators use more than one modality to measure CC. Other variables that can impact breast implant stiffness and associated discomfort beyond CC need to be considered when evaluating patient outcomes. Given the value placed on CC outcomes in assessing breast implant safety, and the prevalence of breast implants overall, the need for a more reliable approach to measuring this outcome persists.
(Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons.)
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تواريخ الأحداث: Date Created: 20230419 Date Completed: 20231222 Latest Revision: 20240307
رمز التحديث: 20240308
مُعرف محوري في PubMed: PMC10729898
DOI: 10.1097/PRS.0000000000010573
PMID: 37075286
قاعدة البيانات: MEDLINE
الوصف
تدمد:1529-4242
DOI:10.1097/PRS.0000000000010573