Complication Profiles of Smooth vs Textured Tissue Expanders in Breast Reconstruction : A Systematic Review and Meta-Analysis
© The Author(s) 2023. Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
BACKGROUND: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a type of non-Hodgkin lymphoma first linked with breast implants in 2011. The correlation between BIA-ALCL and textured devices has led to increased use of smooth devices. However, much of the data surrounding smooth and textured devices investigates breast implants specifically and not tissue expanders.
OBJECTIVES: We performed a systematic review and a meta-analysis to compare surgical outcomes for smooth tissue expanders (STEs) and textured tissue expanders (TTEs).
METHODS: A search was performed on PubMed, including articles from 2016 to 2023 (n = 419). Studies comparing TTEs and STEs and reported complications were included. A random-effects model was utilized for meta-analysis.
RESULTS: A total of 5 articles met inclusion criteria, representing 1709 patients in the STE cohort and 1716 patients in the TTE cohort. The mean duration of tissue expansion with STEs was 221.25 days, while TTEs had a mean time of tissue expansion of 220.43 days.Our meta-analysis found no differences in all surgical outcomes except for explantation risk. STE use was associated with increased odds of explantation by over 50% compared to TTE use (odds ratio = 1.53; 95% CI = 1.15 to 2.02; P = .003).
CONCLUSIONS: Overall, STEs and TTEs had similar complication profiles. However, STEs had 1.5 times higher odds of explantation. The incidence of BIA-ALCL is low, and only a single case of BIA-ALCL has been reported with TTEs. This indicates that TTEs are safe and may lower the risk of early complications requiring explantation. Further studies are warranted to further define the relationship between tissue expanders and BIA-ALCL.
LEVEL OF EVIDENCE: 4:.
| Errataetall: | |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:44 |
|---|---|
| Enthalten in: |
Aesthetic surgery journal - 44(2024), 4 vom: 15. März, Seite 383-393 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Fijany, Arman J [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 18.03.2024 Date Revised 18.03.2024 published: Print CommentIn: Aesthet Surg J. 2023 Dec 12;:. - PMID 38085072 Citation Status MEDLINE |
|---|
| doi: |
10.1093/asj/sjad319 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM362541817 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM362541817 | ||
| 003 | DE-627 | ||
| 005 | 20240318233718.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/asj/sjad319 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1334.xml |
| 035 | |a (DE-627)NLM362541817 | ||
| 035 | |a (NLM)37757895 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Fijany, Arman J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Complication Profiles of Smooth vs Textured Tissue Expanders in Breast Reconstruction |b A Systematic Review and Meta-Analysis |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 18.03.2024 | ||
| 500 | |a Date Revised 18.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a CommentIn: Aesthet Surg J. 2023 Dec 12;:. - PMID 38085072 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2023. Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a BACKGROUND: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a type of non-Hodgkin lymphoma first linked with breast implants in 2011. The correlation between BIA-ALCL and textured devices has led to increased use of smooth devices. However, much of the data surrounding smooth and textured devices investigates breast implants specifically and not tissue expanders | ||
| 520 | |a OBJECTIVES: We performed a systematic review and a meta-analysis to compare surgical outcomes for smooth tissue expanders (STEs) and textured tissue expanders (TTEs) | ||
| 520 | |a METHODS: A search was performed on PubMed, including articles from 2016 to 2023 (n = 419). Studies comparing TTEs and STEs and reported complications were included. A random-effects model was utilized for meta-analysis | ||
| 520 | |a RESULTS: A total of 5 articles met inclusion criteria, representing 1709 patients in the STE cohort and 1716 patients in the TTE cohort. The mean duration of tissue expansion with STEs was 221.25 days, while TTEs had a mean time of tissue expansion of 220.43 days.Our meta-analysis found no differences in all surgical outcomes except for explantation risk. STE use was associated with increased odds of explantation by over 50% compared to TTE use (odds ratio = 1.53; 95% CI = 1.15 to 2.02; P = .003) | ||
| 520 | |a CONCLUSIONS: Overall, STEs and TTEs had similar complication profiles. However, STEs had 1.5 times higher odds of explantation. The incidence of BIA-ALCL is low, and only a single case of BIA-ALCL has been reported with TTEs. This indicates that TTEs are safe and may lower the risk of early complications requiring explantation. Further studies are warranted to further define the relationship between tissue expanders and BIA-ALCL | ||
| 520 | |a LEVEL OF EVIDENCE: 4: | ||
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Chaker, Sara C |e verfasserin |4 aut | |
| 700 | 1 | |a Hung, Ya-Ching |e verfasserin |4 aut | |
| 700 | 1 | |a Zago, Ilana |e verfasserin |4 aut | |
| 700 | 1 | |a Friedlich, Nicole |e verfasserin |4 aut | |
| 700 | 1 | |a Olsson, Sofia E |e verfasserin |4 aut | |
| 700 | 1 | |a Holan, Cole A |e verfasserin |4 aut | |
| 700 | 1 | |a Montorfano, Lisandro |e verfasserin |4 aut | |
| 700 | 1 | |a Mubang, Ronnie N |e verfasserin |4 aut | |
| 700 | 1 | |a Givechian, Kevin B |e verfasserin |4 aut | |
| 700 | 1 | |a Boctor, Michael J |e verfasserin |4 aut | |
| 700 | 1 | |a Pekarev, Maxim |e verfasserin |4 aut | |
| 700 | 1 | |a Martinez-Jorge, Jorys |e verfasserin |4 aut | |
| 700 | 1 | |a Slater, Elizabeth D |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Aesthetic surgery journal |d 1997 |g 44(2024), 4 vom: 15. März, Seite 383-393 |w (DE-627)NLM096468130 |x 1527-330X |7 nnns |
| 773 | 1 | 8 | |g volume:44 |g year:2024 |g number:4 |g day:15 |g month:03 |g pages:383-393 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/asj/sjad319 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 44 |j 2024 |e 4 |b 15 |c 03 |h 383-393 | ||