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LA Kiemeney, FA Lemmers, RH Verhoeven, KK Aben, C Honing, J Nooijer, PH Peeters, O Visser, FA Vlems (2008)
The risk of cancer in the NetherlandsNed Tijdschr Geneeskd, 152
(KiemeneyLALemmersFAVerhoevenRHAbenKKHoningCNooijerJPeetersPHVisserOVlemsFAThe risk of cancer in the NetherlandsNed Tijdschr Geneeskd20081522233224119009811)
KiemeneyLALemmersFAVerhoevenRHAbenKKHoningCNooijerJPeetersPHVisserOVlemsFAThe risk of cancer in the NetherlandsNed Tijdschr Geneeskd20081522233224119009811KiemeneyLALemmersFAVerhoevenRHAbenKKHoningCNooijerJPeetersPHVisserOVlemsFAThe risk of cancer in the NetherlandsNed Tijdschr Geneeskd20081522233224119009811, KiemeneyLALemmersFAVerhoevenRHAbenKKHoningCNooijerJPeetersPHVisserOVlemsFAThe risk of cancer in the NetherlandsNed Tijdschr Geneeskd20081522233224119009811
(SariguneyYAyhanSEryilmazTChest wall deformity after tissue expansionScand J Plast Reconstr Surg Hand Surg20084210810910.1080/0284431060083685118335357)
SariguneyYAyhanSEryilmazTChest wall deformity after tissue expansionScand J Plast Reconstr Surg Hand Surg20084210810910.1080/0284431060083685118335357SariguneyYAyhanSEryilmazTChest wall deformity after tissue expansionScand J Plast Reconstr Surg Hand Surg20084210810910.1080/0284431060083685118335357, SariguneyYAyhanSEryilmazTChest wall deformity after tissue expansionScand J Plast Reconstr Surg Hand Surg20084210810910.1080/0284431060083685118335357
(RadovanCBreast reconstruction after mastectomy using the temporary expanderPlast Reconstr Surg1982691952087054790)
RadovanCBreast reconstruction after mastectomy using the temporary expanderPlast Reconstr Surg1982691952087054790RadovanCBreast reconstruction after mastectomy using the temporary expanderPlast Reconstr Surg1982691952087054790, RadovanCBreast reconstruction after mastectomy using the temporary expanderPlast Reconstr Surg1982691952087054790
P. Mckinney, R. Edelson, A. Terrasse, M. Zukowski (1987)
Chest-wall deformity following soft-tissue expansion for breast reconstruction.Plastic and reconstructive surgery, 80 3
E. Moor, M. Wexler, Y. Bar-ziv, A. Weinberg, M. Chaouat, D. Ad-El, T. Raveh, M. Alfie, R. Caspi, A. Neuman (1996)
Chest Wall Deformity Following Maximal Tissue Expansion for Breast ReconstructionAnnals of Plastic Surgery, 36
(OvergaardMSpontaneous 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 damageActa Oncol19882711712210.3109/028418688090903313390342)
OvergaardMSpontaneous 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 damageActa Oncol19882711712210.3109/028418688090903313390342OvergaardMSpontaneous 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 damageActa Oncol19882711712210.3109/028418688090903313390342, OvergaardMSpontaneous 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 damageActa Oncol19882711712210.3109/028418688090903313390342
M. Overgaard (1988)
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 oncologica, 27 2
(McKinneyPEdelsonRTerrasseAZukowskiMChest-wall deformity following soft-tissue expansion for breast reconstructionPlast Reconstr Surg19878044244410.1097/00006534-198709000-000193628574)
McKinneyPEdelsonRTerrasseAZukowskiMChest-wall deformity following soft-tissue expansion for breast reconstructionPlast Reconstr Surg19878044244410.1097/00006534-198709000-000193628574McKinneyPEdelsonRTerrasseAZukowskiMChest-wall deformity following soft-tissue expansion for breast reconstructionPlast Reconstr Surg19878044244410.1097/00006534-198709000-000193628574, McKinneyPEdelsonRTerrasseAZukowskiMChest-wall deformity following soft-tissue expansion for breast reconstructionPlast Reconstr Surg19878044244410.1097/00006534-198709000-000193628574
S. Spear, A. Mesbahi (2007)
Implant-based reconstruction.Clinics in plastic surgery, 34 1
(MoorEVWexlerMRBar-ZivYWeinbergAChaouatMAd-ElDRavehTAlfieMCaspiRNeumanAChest wall deformity following maximal tissue expansion for breast reconstructionAnn Plast Surg19963612913210.1097/00000637-199602000-000048919374)
MoorEVWexlerMRBar-ZivYWeinbergAChaouatMAd-ElDRavehTAlfieMCaspiRNeumanAChest wall deformity following maximal tissue expansion for breast reconstructionAnn Plast Surg19963612913210.1097/00000637-199602000-000048919374MoorEVWexlerMRBar-ZivYWeinbergAChaouatMAd-ElDRavehTAlfieMCaspiRNeumanAChest wall deformity following maximal tissue expansion for breast reconstructionAnn Plast Surg19963612913210.1097/00000637-199602000-000048919374, MoorEVWexlerMRBar-ZivYWeinbergAChaouatMAd-ElDRavehTAlfieMCaspiRNeumanAChest wall deformity following maximal tissue expansion for breast reconstructionAnn Plast Surg19963612913210.1097/00000637-199602000-000048919374
L. Kiemeney, F. Lemmers, Rob Verhoeven, K. Aben, C. Honing, J. Nooijer, P. Peeters, Otto Visser, F. Vlems (2008)
[The risk of cancer in the Netherlands].Nederlands tijdschrift voor geneeskunde, 152 41
(SpearSLMesbahiANImplant-based reconstructionClin Plast Surg200734637310.1016/j.cps.2006.11.01217307072)
SpearSLMesbahiANImplant-based reconstructionClin Plast Surg200734637310.1016/j.cps.2006.11.01217307072SpearSLMesbahiANImplant-based reconstructionClin Plast Surg200734637310.1016/j.cps.2006.11.01217307072, SpearSLMesbahiANImplant-based reconstructionClin Plast Surg200734637310.1016/j.cps.2006.11.01217307072
(HopewellJWRadiation-therapy effects on bone densityMed Pediatr Oncol20034120821110.1002/mpo.1033812868120)
HopewellJWRadiation-therapy effects on bone densityMed Pediatr Oncol20034120821110.1002/mpo.1033812868120HopewellJWRadiation-therapy effects on bone densityMed Pediatr Oncol20034120821110.1002/mpo.1033812868120, HopewellJWRadiation-therapy effects on bone densityMed Pediatr Oncol20034120821110.1002/mpo.1033812868120
(2007)
AN (2007) Implant-based reconstruction
J. Sinow, R. Halvorsen, J. Matts, W. Schubert, J. Letourneau, B. Cunningham (1991)
Chest-wall deformity after tissue expansion for breast reconstruction.Plastic and reconstructive surgery, 88 6
Yakup Sariguney, S. Ayhan, Tolga Eryılmaz (2008)
Chest wall deformity after tissue expansionScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 42
C. Radovan (1982)
Breast Reconstruction after Mastectomy Using the Temporary ExpanderPlastic and Reconstructive Surgery, 69
J. Hopewell (2003)
Radiation-therapy effects on bone density.Medical and pediatric oncology, 41 3
(SinowJDHalvorsenRAJrMattsJPSchubertWLetourneauJGCunninghamBLChest-wall deformity after tissue expansion for breast reconstructionPlast Reconstr Surg199188998100410.1097/00006534-199112000-000081946781)
SinowJDHalvorsenRAJrMattsJPSchubertWLetourneauJGCunninghamBLChest-wall deformity after tissue expansion for breast reconstructionPlast Reconstr Surg199188998100410.1097/00006534-199112000-000081946781SinowJDHalvorsenRAJrMattsJPSchubertWLetourneauJGCunninghamBLChest-wall deformity after tissue expansion for breast reconstructionPlast Reconstr Surg199188998100410.1097/00006534-199112000-000081946781, SinowJDHalvorsenRAJrMattsJPSchubertWLetourneauJGCunninghamBLChest-wall deformity after tissue expansion for breast reconstructionPlast Reconstr Surg199188998100410.1097/00006534-199112000-000081946781
K. Behranwala, R. Dua, G. Ross, A. Ward, R. A’Hern, G. Gui (2006)
The influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implants.Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 59 10
(BehranwalaKADuaRSRossGMWardAA'HernRGuiGPThe influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implantsJ Plast Reconstr Aesthet Surg2006591043105110.1016/j.bjps.2006.01.05116996426)
BehranwalaKADuaRSRossGMWardAA'HernRGuiGPThe influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implantsJ Plast Reconstr Aesthet Surg2006591043105110.1016/j.bjps.2006.01.05116996426BehranwalaKADuaRSRossGMWardAA'HernRGuiGPThe influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implantsJ Plast Reconstr Aesthet Surg2006591043105110.1016/j.bjps.2006.01.05116996426, BehranwalaKADuaRSRossGMWardAA'HernRGuiGPThe influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implantsJ Plast Reconstr Aesthet Surg2006591043105110.1016/j.bjps.2006.01.05116996426
We present the case of a 54-year-old woman who underwent a two-stage breast reconstruction with a tissue expander after sustaining a lumpectomy and local radiotherapy for breast cancer. During expansion, the woman developed an abnormal concave deformity of the chest wall. Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result. Osteoporosis or local recurrence was excluded as predisposing factors, and radiotherapy was considered to be the causal factor in our patient. On the basis of this finding, we advise surgeons to take the risk of chest-wall deformity into consideration when planning a reconstruction with tissue expanders, especially in patients with a history of radiotherapy, and we recommend an alternative reconstructive method in this group of patients.
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2009
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