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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Hong Youl (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Jung, Bok Ki (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Lee, Dong Won (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제6호
발행연도
2014.1
수록면
740 - 747 (8page)

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Background Autologous fat graft has become a useful technique for correction of acquired contour deformity in reconstructed breasts. However, there remains controversial regarding the efficacy and safety of the practice for reconstructive breast surgery. Methods A retrospective review was performed on 102 patients who had secondary fat grafting after breast reconstruction. Fat harvest, refinement and injection were done by Coleman's technique. All patients were followed up postoperatively within 1 month and after 6 months including physical examination and ultrasonography. In 38 patients, the reabsorption rate was calculated by serial changes of thickness between skin and pectoral fascia in the ultrasonic finding. Locoregional recurrence rate was compared with control group of 449 patients who had breast reconstruction without fat graft in the same time period. Results Average 49.3 mL fat was injected into each breast. The most common location of fat graft was upper pole, followed by axilla, lower and medial breasts. During 28.7 months of average follow-up period, 2.9% of total patients had symptoms of palpable mass on fat graft side and ultrasonography identified fat necrosis and cyst formation in 17.6% of the patients. Calculated fat reabsorption rate was 32.9%. Locoregional recurrence was occurred in 1 patient (0.9%) and the rate was not different significantly with control group (2%). Conclusions Although further studies are required to provide surgeons with definitive guidelines for the implementation of fat grafting, we propose autologous fat graft is an efficient and safe technique for secondary breast reconstruction.
#Breast #Fat necrosis #Ultrasonography

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참고문헌 (16)

참고문헌 신청
Losken A / 2011 / Autologous fat grafting in secondary breast reconstruction / Ann Plast Surg 66:518~522 google schola 1987 / Report on autologous fat transplantation. ASPRS Ad-Hoc Committee on New Procedures, September 30, 1987 / Plast Surg Nurs 7:140~141 google schola Spear SL / 2005 / Fat injection to correct contour deformities in the reconstructed breast / Plast Reconstr Surg 116:1300~1305 google schola Missana MC / 2007 / Autologous fat transfer in reconstructive breast surgery: indications, technique and results / Eur J Surg Oncol 33:685~690 google schola Gutowski KA / 2009 / Current applica-tions and safety of autologous fat grafts: a report of the ASPS fat graft task force / Plast Reconstr Surg 124:272~280 google schola

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