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Atypical rupture of a Poly Implant Prothése implant and fluid shifting: a case report

Min JC, Kim EK

Women have undergone augmentation mammoplasty for decades, and if implant rupture is suspected, imaging modalities such as magnetic resonance imaging (MRI) and ultrasonography are available. The linguine sign, keyhole sign,...
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Unilateral autoinflation of a saline-filled breast implant initially diagnosed as capsular contracture: a case report and review of the literature

Choi J, Yang YB, Oh DY

Spontaneous inflation of saline breast implants is a rare phenomenon. In this case report, we share our experience treating a patient who complained of asymmetric breasts from what appeared to...
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Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma

Kim DY, Hur J, Han WY, Min K, Lee JW, Eom JS, Han HH, Kim EK

We report a case of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which had a history of spontaneous resorption of late seroma before diagnosis. A 47-year-old woman with a history...
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Objective photographic assessments and comparisons of immediate bilateral breast reconstruction using deep inferior epigastric perforator flaps and implants

Han HH, Choi JM, Eom JS

Background The increasing number of bilateral breast cancer patients has been accompanied by a growing need for bilateral mastectomy with immediate reconstruction. However, little research has investigated the complications and...
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The management of breast implant-associated anaplastic large cell lymphoma in the setting of pregnancy: seeking for clinical practice guidelines

Elia R, Maruccia M, Pascale AD, Napoli AD, Ingravallo G, Giudice G

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently described form of T-cell non-Hodgkin lymphoma now formally recognized by the World Health Organization classification of lymphoid neoplasms. The aim...
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Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL)

Lee JH

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare T-cell non-Hodgkin lymphoma characterized as CD30 positive and anaplastic lymphoma kinase (ALK) negative. In 2016, the World Health Organization declared BIA-ALCL...
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Usefulness of meshed SurgiMend in direct-to-implant breast reconstruction

Eo PS, Lee JS, Lee JW, Choi KY, Chung HY, Cho BC, Lee J, Park HY, Yang JD

Background The use of acellular dermal matrix in implant-based breast reconstruction immediately after mastectomy has attracted attention in recent years because it yields good outcomes. Herein, we analyzed the usefulness...
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Strategy for salvaging infected breast implants: lessons from the recovery of seven consecutive patients

Yeo H, Lee D, Kim JS, Eo PS, Kim DK, Lee JS, Kwon KT, Lee J, Park HY, Yang JD

Background In recent years, implant-based breast reconstruction has been performed because of its simplicity, short operation time, and rapid recovery of patients. Several studies have reported treatment methods for implant...
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Understanding Silicone Breast Implant-Associated Complications for Radiologists

Lee J, Kim SH, Lee JH, Han BK

With the increase in the number of cases of silicone implant insertion either for cosmetic surgery or breast reconstruction after mastectomy, it is not unusual to encounter patients with silicone...
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Predictive factors of drainage volume and drain duration after the inframammary approach to nipple-areolar-complex sparing mastectomy and implant-based breast reconstruction

Kim YS, Kim HS, Park EJ, Kim HY, Kim HI, Park JH, Jeon CW, Yi HS

Background The placement of a closed suction drain is indispensable for preventing serious infections; however, closed suction drains are inevitably accompanied by increases in local infections, pain, and length of...
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Current status of breast implantassociated anaplastic large cell lymphoma in South Korea

Yoon ES

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a unique type of lymphoma caused by breast implants. Concerns about BIA-ALCL have increased worldwide, and three domestic cases have been reported...
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The efficacy of ultrasound-guided erector spinae plane block after mastectomy and immediate breast reconstruction with a tissue expander: a randomized clinical trial

Park S, Park J, Choi JW, Bang YJ, Oh EJ, Park J, Hong KY, Sim WS

Background: We aimed to investigate the analgesic efficacy of an erector spinae plane block (ESPB) in immediate breast reconstruction (IBR) with a tissue expander. Methods: Adult women undergoing IBR with a...
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Capsular Contracture Rates in Augmentation Mammaplasty: Comparison of Round vs Anatomical Breast Implants

Lee S, Kim MK, Lee S, Ryu W, Back S

Purpose: Capsular contracture is a major cause of poor postoperative satisfaction in augmentation mammaplasty. It is unclear whether round or anatomical textured breast implants lead to differences in the rates...
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Outcome of complete acellular dermal matrix wrap with polyurethane implant in immediate prepectoral breast reconstruction

Naemonitou F, Mylvaganam S, Salem F, Vidya R

Background Polyurethane implants have been used on and off in breast reconstruction since 1991 while prepectoral breast reconstruction has gained popularity in recent times. In this study, we present our...
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Outcomes of saline implant-based immediate breast reconstruction: 15-year follow-up results

Min K, Jeon DN, Choi EJ, Lee TJ, Eom JS, Han HH, Kim EK

Background Although rarely used at present in South Korea, saline implants accounted for most of the implants used from 1992 to 2007. However, few studies have reported on the long-term...
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Blossom smart expander technology for tissue expander-based breast reconstruction facilitates shorter duration to full expansion: A pilot study

Choi YK, Rochlin DH, Nguyen DH

Background This study evaluated the Blossom system, an innovative self-filling, rate-controlled, pressure-responsive saline tissue expander (TE) system. We investigated the feasibility of utilizing this technology to facilitate implant-based and combined...
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The Emerging Crisis of Stakeholders in Implant-based Augmentation Mammaplasty in Korea

Kim JH, Paik NS, Nam SY, Cho Y, Park HK

Background: Korea is no longer safe from the risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL); the first reported case was a Korean woman in her 40s who had...
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A single-use negative-pressure wound therapy device can reduce mastectomy skin flap necrosis in direct-to-implant breast reconstruction

Kim JH, Kim YS, Kim YW, Kim YJ, Chun YS, Park HK, Cheon YW

Background Mastectomy flap necrosis is a common and challenging complication of direct-to-implant (DTI) breast reconstruction. The PICO single-use negative-pressure wound therapy device may reduce the complications associated with skin flap...
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Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction

Lee D, Jung BK, Roh TS, Kim YS

Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device...
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Factors affecting mastectomy specimen density in direct-to-implant breast reconstruction

Yi HS, In SK, Kim HS, Park JH, Kim HI, Jeon CW, Kim HY

BACKGROUND: Direct-to-implant breast reconstruction following nipple-sparing mastectomy is becoming increasingly common. The weight of the breast specimen informs implant selection. However, specimens of the same weight may have different volume....
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