Rib cage deformity during two-stage tissue expander breast reconstruction in patient with previous radiotherapy: a case report
Patients undergoing two-stage breast reconstruction with tissue expander and a history of previous irradiation are predisposed to a various chest-wall deformations more than non-irradiated patients. If chest-wall depression with/without rib fracture is found intra-operatively, bigger implant should be used, with a subsequent radiologic evaluation. In the future, the development of a new, modified expander with a harder base could minimise such complications.
2013 Plastic Surgery Statistic Report [American society of plastic surgery web site]. Available at http://www.plasticsurgery.org/Documents/news-resources/statistics/2013-statistics/plastic-surgery-statistics-full-report-2013.pdf. Accessed December 19, 2014.
Ho AL, Bovill ES, Macadam SA, Tyldesley S, Giang J, Lennox PA. Postmastectomy radiation therapy after immediate two-stage tissue expander/implant breast reconstruction: a University of British Columbia perspective. Plast Reconstr Surg 2014; 134: 1-10.
Kronowitz SJ. Current status of implant-based breast reconstruction in patients receiving postmastectomy radiation therapy. Plast Reconstr Surg 2012; 130: 513-24.
Alani H, Shantour S. Breast reconstruction by tissue expander after radiotherapy: When the skin does not expand, the rib cage is at risk. Eur J Plast Surg 2014; 37: 333-8.
de Wildt R, Tuinder S, van der Hulst RWJ. Substantial chest-wall deformity following tissue expansion after radiotherapy. Eur J Plast Surg 2009; 32: 337-40.
Tseng J, Huang AH, Wong MS, Whetzel TP, Stevenson TR. Rib fractures: a complication of radiation therapy and tissue expansion for breast reconstruction. Plast Reconstr Surg 2010; 125: 65-6.
Tirone L, La Rusca I, Ciccarelli F. Rib fracture as a complication of tissue expansion in breast reconstruction. Plast Reconstr Surg 2010; 126: 2290-1.
Huang AH, Wong MS, Whetzel TP, Stevenson TR. Rib fractures: a complication of radiation therapy and tissue expansion for breast reconstruction. Breast Cancer Res Treat 2007; 106: 1 Suppl: 238.
Ahcan U, Zivec K. Rib fracture after breast reconstruction with tissue expander. Zdrav Vest 2009; 78: 413-6.
Wong S, Kaur A, Back M, Lee KM, Baggarley S, Lu JJ. An ultrasonographic evaluation of skin thickness in breast cancer patients after postmastectomy radiation therapy. Radiat Oncol 2011; 6: 9.
Hirbe A, Morgan EA, Uluçkan Ö, Weilbaecher K. Skeletal Complications of Breast Cancer Therapies. Clin Cancer Res 2006; 12: 20 Suppl: 6309-63.
Overgaard M. Spontaneous radiation-induced rib fractures in breast cancer patients treated with postmastectomy irradiation. A clinical radiobiological analysis of the influence of fraction size and dose-response relationships on late bone damage. Acta Oncol 1988; 27: 117-22.
Monticciolo DL, Sincleair ST, Hajdik RL. Rib Fracture as a Complication of Accelerated Partial Breast Irradiation Diagnosed on MRI. Breast J 2010; 16: 424-7.
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