Title: Implant Reconstruction in Patients Who Receive ...



Title: Implant Reconstruction in Patients Who Receive Radiation for Breast Cancer

Authors: Matthew M. Hanasono, MD, Martin I Newman, MD, Duncan B. Hughes, MD, and Jeffrey A. Ascherman, MD

Introduction: Implant breast reconstruction in patients who receive radiation therapy for breast cancer is controversial.1-5 Prior studies are limited by older prosthetic devices, reconstructive techniques, and radiation therapy protocols.

Methods: Retrospective review of patients undergoing tissue expansion and implant breast reconstruction by a single surgeon after mastectomy for breast cancer from 1996 to 2003.

Results: 108 patients (127 breasts) underwent mastectomy and implant breast reconstruction. 31 patients (31 breasts) received either pre- or postmastectomy radiation therapy (Table I). All patients who received radiation did so prior to exchange of tissue expander for permanent implant. Complications ultimately requiring prosthetic device removal or replacement as well as total complications (those requiring prosthetic removal or replacement and those not requiring prosthetic removal or replacement) were more frequent in breasts that received radiation than breasts that did not receive radiation (22.6% vs. 4.2% for complications requiring prosthetic removal or replacement, p ................
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