DOI: 10.1097/01.prs.0000406323.55930.bc
,
Issn Print: 0032-1052
Publication Date: 2011/10/01
Acellular Dermal Matrices: Algorithm To Prevent Overuse in Breast Reconstruction
Joseph T. Chun; Brian M. Freeman
Excerpt
Much has been written about the benefits of the use of acellular dermal matrices (ADM) in prosthetic breast reconstruction (PBR). There is universal agreement that ADM are safe to use, give excellent cosmetic results, and may help prevent or treat capsular contracture formation in adjuvant radiation therapy. Most authors agree that ADM are indicated in the following situations: reconstruction of the inframammary fold (IMF), maintenance of implant position, securing the inferior border of the pectoralis muscle, extending the pectoralis in primary implant reconstruction, and prevention of capsular contracture in cases of adjuvant radiation therapy (1–2). However, the main drawback to the use of ADM is cost. With today's increasing medical cost, it is important to limit the cost without affecting outcome. This study suggests an algorithm to prevent the overuse of ADM in PBR.
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