Acellular Dermal Matrices: To Use or Not?
Nipple-sparing mastectomy and prosthetic reconstruction is a frequent option for women considering therapeutic and prophylactic mastectomy. The use of acellular dermal matrices in the setting of prosthetic breast reconstruction has facilitated the ability to achieve full coverage of the prosthetic device and provide additional tissue support. Some surgeons feel that reconstructive outcomes are improved, whereas others feel that they are not. Thus, its use is controversial for a variety of reasons that include cost, risk of adverse events, and questionable benefits. This chapter will review the indications, techniques, and outcomes associated with the use of acellular dermal matrices in the setting of nipple-sparing mastectomy and prosthetic breast reconstruction.
KeywordsNipple-sparing mastectomy Acellular dermal matrix Breast implant Tissue expander Prepectoral breast reconstruction 1-Stage reconstruction 2-Stage reconstruction Direct to implant
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