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Management of exposed, infected implant-based breast reconstruction and strategies for salvage
S.P.H. Bennett, A.D. Fitoussi, M.G. Berry, B. Couturaud, R.J. Salmon Journal of Plastic, Reconstructive & Aesthetic Surgery Volume 64, Issue 10, Pages (October 2011) DOI: /j.bjps Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions
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Figure 1 A. Mild infection with skin necrosis. B. Mild infection with implant exposed. C. Severe infection with skin intact. D. Severe infection with implant exposed. Journal of Plastic, Reconstructive & Aesthetic Surgery , DOI: ( /j.bjps ) Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions
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Figure 2 Management of the 68 patients with infected implants.
Journal of Plastic, Reconstructive & Aesthetic Surgery , DOI: ( /j.bjps ) Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions
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Figure 3 Inframammary tissue advancement. A. Pre-operative marking showing area to be de-epithelialised around area of skin necrosis, and the inframammary area released to allow tissue advancement. B. Following de-epithelialisation which creates a keel of healthy tissue the implant is removed to allow debridement and release of inframammary tissue. C. The inframammary tissue advanced and sutured into position to allow placement of a new implant. D. Result at twelve months. Journal of Plastic, Reconstructive & Aesthetic Surgery , DOI: ( /j.bjps ) Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions
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Figure 4 Failed implant salvage with latissimus dorsi flap. A. Infected and exposed immediate implant only breast reconstruction. B. Attempted salvage with latissimus dorsi failed to retain implant. C. Successful delayed re-implantation. D. Result of 24 months post treatment with nipple reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery , DOI: ( /j.bjps ) Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions
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Figure 5 Decision making algorithm for infected/exposed breast prostheses used in reconstruction after cancer. Journal of Plastic, Reconstructive & Aesthetic Surgery , DOI: ( /j.bjps ) Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions
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