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Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
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Zeitschriftentitel: | Plastic & Reconstructive Surgery |
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Personen und Körperschaften: | , , |
In: | Plastic & Reconstructive Surgery, 139, 2017, 6, S. 1367-1378 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Ovid Technologies (Wolters Kluwer Health)
|
Schlagwörter: |
author_facet |
Montemurro, Paolo Papas, Athanasios Hedén, Per Montemurro, Paolo Papas, Athanasios Hedén, Per |
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author |
Montemurro, Paolo Papas, Athanasios Hedén, Per |
spellingShingle |
Montemurro, Paolo Papas, Athanasios Hedén, Per Plastic & Reconstructive Surgery Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation Surgery |
author_sort |
montemurro, paolo |
spelling |
Montemurro, Paolo Papas, Athanasios Hedén, Per 0032-1052 Ovid Technologies (Wolters Kluwer Health) Surgery http://dx.doi.org/10.1097/prs.0000000000003387 <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec> Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation Plastic & Reconstructive Surgery |
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title |
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_unstemmed |
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_full |
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_fullStr |
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_full_unstemmed |
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_short |
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_sort |
is rotation a concern with anatomical breast implants? a statistical analysis of factors predisposing to rotation |
topic |
Surgery |
url |
http://dx.doi.org/10.1097/prs.0000000000003387 |
publishDate |
2017 |
physical |
1367-1378 |
description |
<jats:sec>
<jats:title>Background:</jats:title>
<jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Methods:</jats:title>
<jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results:</jats:title>
<jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusion:</jats:title>
<jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title>
<jats:p>Risk, III.</jats:p>
</jats:sec> |
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author | Montemurro, Paolo, Papas, Athanasios, Hedén, Per |
author_facet | Montemurro, Paolo, Papas, Athanasios, Hedén, Per, Montemurro, Paolo, Papas, Athanasios, Hedén, Per |
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description | <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec> |
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spelling | Montemurro, Paolo Papas, Athanasios Hedén, Per 0032-1052 Ovid Technologies (Wolters Kluwer Health) Surgery http://dx.doi.org/10.1097/prs.0000000000003387 <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec> Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation Plastic & Reconstructive Surgery |
spellingShingle | Montemurro, Paolo, Papas, Athanasios, Hedén, Per, Plastic & Reconstructive Surgery, Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation, Surgery |
title | Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_full | Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_fullStr | Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_full_unstemmed | Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_short | Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
title_sort | is rotation a concern with anatomical breast implants? a statistical analysis of factors predisposing to rotation |
title_unstemmed | Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation |
topic | Surgery |
url | http://dx.doi.org/10.1097/prs.0000000000003387 |