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The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis
Background Breast reconstruction can improve the quality of patients' lives by restoring the breasts' natural appearance. Saline-based tissue expanders are associated with significant drawbacks. The current systematic review and meta-analysis aimed to reveal the usability, safety, and econ...
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| Published in: | Aesthetic plastic surgery 2023-02, Vol.47 (1), p.130-143 |
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| container_title | Aesthetic plastic surgery |
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| creator | Awadeen, Abdelrahman Fareed, Mohamed Elameen, Ali Mohamed |
| description | Background
Breast reconstruction can improve the quality of patients' lives by restoring the breasts' natural appearance. Saline-based tissue expanders are associated with significant drawbacks. The current systematic review and meta-analysis aimed to reveal the usability, safety, and economic burden of AeroForm-based tissue expanders for breast reconstruction.
Methods
An extensive systematic literature review was implemented from inception to 9 December 2021. All clinical studies that included women with breast cancer subjected to AeroForm-based tissue expansion for breast reconstruction were included in the study.
Results
This systematic review included eleven articles consisting of 748 patients. There were 1220 reconstructed breasts in which 530 (43.44%) breasts were reconstructed using AeroForm devices. AeroForm-based tissue expanders were associated with shorter duration to complete breast expansion (MD-35.22; 95% -46.65, -23.78;P |
| doi_str_mv | 10.1007/s00266-022-02901-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9944028</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2664802428</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-1e82348b4e341f8612efea0d1f40976fd566b416f6aa6a85477eda1d610fa6433</originalsourceid><addsrcrecordid>eNp9kc9u1DAQxi1ERbeFF-CALHHh4mI7jpMICWlblVKpqBIsEjfLm4xbV0m8eJxCHqDvjdtty58DB2sO8_s-z8xHyEvBDwTn1VvkXGrNuJT5NVyw-QlZCFVIVkolnpIFL7RiUuhvu2QP8YpzIatKPSO7RVmWQim-IDerS6Cnw8a2iQZHlxCDC3GgK484AT3-ubFjBxFpGGnK6PmU2jAA3sJZ1tsxsUOL0NHDCBYT_QxtGDHFqU0-jO_okn6ZMcFgk29z89rDD5ot6SdIli1H28_o8TnZcbZHeHFf98nXD8ero4_s7Pzk9Gh5xlpVqcQE1LJQ9VpBoYSrtZDgwPJOOMWbSruu1HqthHbaWm3rUlUVdFZ0WnBntSqKffJ-67uZ1gN0LYwp2t5soh9snE2w3vzdGf2luQjXpmnytWSdDd7cG8TwfQJMZvDYQp_vAGFCk_NQNZfqDn39D3oVppgXzlRV1Xk20ehMyS3VxoAYwT0OI7i5TdlsUzY5ZXOXspmz6NWfazxKHmLNQLEFMLfGC4i___6P7S8xRbTO</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2778477196</pqid></control><display><type>article</type><title>The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis</title><source>Springer Link</source><creator>Awadeen, Abdelrahman ; Fareed, Mohamed ; Elameen, Ali Mohamed</creator><creatorcontrib>Awadeen, Abdelrahman ; Fareed, Mohamed ; Elameen, Ali Mohamed</creatorcontrib><description>Background
Breast reconstruction can improve the quality of patients' lives by restoring the breasts' natural appearance. Saline-based tissue expanders are associated with significant drawbacks. The current systematic review and meta-analysis aimed to reveal the usability, safety, and economic burden of AeroForm-based tissue expanders for breast reconstruction.
Methods
An extensive systematic literature review was implemented from inception to 9 December 2021. All clinical studies that included women with breast cancer subjected to AeroForm-based tissue expansion for breast reconstruction were included in the study.
Results
This systematic review included eleven articles consisting of 748 patients. There were 1220 reconstructed breasts in which 530 (43.44%) breasts were reconstructed using AeroForm devices. AeroForm-based tissue expanders were associated with shorter duration to complete breast expansion (MD-35.22; 95% -46.65, -23.78;P<0.001) and complete reconstruction (MD-30.511; 95% -54.659, -6.636;P=0.013). The overall satisfaction rate of the aesthetic results of the AeroForm expanders was 81.4% (95%CI; 60.3% to 92.6%,P=0.006) and 64.6% (95%CI; 53.8% to 74%,P=0.008) for patients and surgeons. Patients subjected to saline-based breast reconstruction were 1.17 times at high risk to develop breast-related adverse events (RR1.17; 95% 0.86, 1.58; P=0.31). This includes a high risk of mastectomy flap necrosis (RR1.91; 95% 1.03, 3.55;P=0.04) and post-operative wound infection (RR 1.63; 95% 0.91, 2.91;P=0.1).
Conclusion
AeroForm-based tissue expanders represent a new era of breast reconstruction. These devices provided an earlier transition to exchange for the permanent implant with a convenient and comfortable expansion process. This was associated with a high satisfaction rate for patients and surgeons.
Level of Evidence III
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-022-02901-y</identifier><identifier>PMID: 35551440</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bias ; Breast cancer ; Breast Implants ; Breast Neoplasms - surgery ; Carbon dioxide ; Clinical trials ; Ethnicity ; Female ; Humans ; Literature reviews ; Mammaplasty - methods ; Mastectomy ; Mastectomy - methods ; Medicine ; Medicine & Public Health ; Meta-analysis ; Otorhinolaryngology ; Patients ; Plastic Surgery ; Reconstructive surgery ; Retrospective Studies ; Review ; Surgical outcomes ; Systematic review ; Tissue Expansion - methods ; Tissue Expansion Devices ; Treatment Outcome ; Usability</subject><ispartof>Aesthetic plastic surgery, 2023-02, Vol.47 (1), p.130-143</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-1e82348b4e341f8612efea0d1f40976fd566b416f6aa6a85477eda1d610fa6433</citedby><cites>FETCH-LOGICAL-c474t-1e82348b4e341f8612efea0d1f40976fd566b416f6aa6a85477eda1d610fa6433</cites><orcidid>0000-0001-9966-9270</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35551440$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Awadeen, Abdelrahman</creatorcontrib><creatorcontrib>Fareed, Mohamed</creatorcontrib><creatorcontrib>Elameen, Ali Mohamed</creatorcontrib><title>The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Breast reconstruction can improve the quality of patients' lives by restoring the breasts' natural appearance. Saline-based tissue expanders are associated with significant drawbacks. The current systematic review and meta-analysis aimed to reveal the usability, safety, and economic burden of AeroForm-based tissue expanders for breast reconstruction.
Methods
An extensive systematic literature review was implemented from inception to 9 December 2021. All clinical studies that included women with breast cancer subjected to AeroForm-based tissue expansion for breast reconstruction were included in the study.
Results
This systematic review included eleven articles consisting of 748 patients. There were 1220 reconstructed breasts in which 530 (43.44%) breasts were reconstructed using AeroForm devices. AeroForm-based tissue expanders were associated with shorter duration to complete breast expansion (MD-35.22; 95% -46.65, -23.78;P<0.001) and complete reconstruction (MD-30.511; 95% -54.659, -6.636;P=0.013). The overall satisfaction rate of the aesthetic results of the AeroForm expanders was 81.4% (95%CI; 60.3% to 92.6%,P=0.006) and 64.6% (95%CI; 53.8% to 74%,P=0.008) for patients and surgeons. Patients subjected to saline-based breast reconstruction were 1.17 times at high risk to develop breast-related adverse events (RR1.17; 95% 0.86, 1.58; P=0.31). This includes a high risk of mastectomy flap necrosis (RR1.91; 95% 1.03, 3.55;P=0.04) and post-operative wound infection (RR 1.63; 95% 0.91, 2.91;P=0.1).
Conclusion
AeroForm-based tissue expanders represent a new era of breast reconstruction. These devices provided an earlier transition to exchange for the permanent implant with a convenient and comfortable expansion process. This was associated with a high satisfaction rate for patients and surgeons.
Level of Evidence III
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Bias</subject><subject>Breast cancer</subject><subject>Breast Implants</subject><subject>Breast Neoplasms - surgery</subject><subject>Carbon dioxide</subject><subject>Clinical trials</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy</subject><subject>Mastectomy - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Plastic Surgery</subject><subject>Reconstructive surgery</subject><subject>Retrospective Studies</subject><subject>Review</subject><subject>Surgical outcomes</subject><subject>Systematic review</subject><subject>Tissue Expansion - methods</subject><subject>Tissue Expansion Devices</subject><subject>Treatment Outcome</subject><subject>Usability</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kc9u1DAQxi1ERbeFF-CALHHh4mI7jpMICWlblVKpqBIsEjfLm4xbV0m8eJxCHqDvjdtty58DB2sO8_s-z8xHyEvBDwTn1VvkXGrNuJT5NVyw-QlZCFVIVkolnpIFL7RiUuhvu2QP8YpzIatKPSO7RVmWQim-IDerS6Cnw8a2iQZHlxCDC3GgK484AT3-ubFjBxFpGGnK6PmU2jAA3sJZ1tsxsUOL0NHDCBYT_QxtGDHFqU0-jO_okn6ZMcFgk29z89rDD5ot6SdIli1H28_o8TnZcbZHeHFf98nXD8ero4_s7Pzk9Gh5xlpVqcQE1LJQ9VpBoYSrtZDgwPJOOMWbSruu1HqthHbaWm3rUlUVdFZ0WnBntSqKffJ-67uZ1gN0LYwp2t5soh9snE2w3vzdGf2luQjXpmnytWSdDd7cG8TwfQJMZvDYQp_vAGFCk_NQNZfqDn39D3oVppgXzlRV1Xk20ehMyS3VxoAYwT0OI7i5TdlsUzY5ZXOXspmz6NWfazxKHmLNQLEFMLfGC4i___6P7S8xRbTO</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Awadeen, Abdelrahman</creator><creator>Fareed, Mohamed</creator><creator>Elameen, Ali Mohamed</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9966-9270</orcidid></search><sort><creationdate>20230201</creationdate><title>The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis</title><author>Awadeen, Abdelrahman ; Fareed, Mohamed ; Elameen, Ali Mohamed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-1e82348b4e341f8612efea0d1f40976fd566b416f6aa6a85477eda1d610fa6433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bias</topic><topic>Breast cancer</topic><topic>Breast Implants</topic><topic>Breast Neoplasms - surgery</topic><topic>Carbon dioxide</topic><topic>Clinical trials</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy</topic><topic>Mastectomy - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Plastic Surgery</topic><topic>Reconstructive surgery</topic><topic>Retrospective Studies</topic><topic>Review</topic><topic>Surgical outcomes</topic><topic>Systematic review</topic><topic>Tissue Expansion - methods</topic><topic>Tissue Expansion Devices</topic><topic>Treatment Outcome</topic><topic>Usability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Awadeen, Abdelrahman</creatorcontrib><creatorcontrib>Fareed, Mohamed</creatorcontrib><creatorcontrib>Elameen, Ali Mohamed</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Awadeen, Abdelrahman</au><au>Fareed, Mohamed</au><au>Elameen, Ali Mohamed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>47</volume><issue>1</issue><spage>130</spage><epage>143</epage><pages>130-143</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Breast reconstruction can improve the quality of patients' lives by restoring the breasts' natural appearance. Saline-based tissue expanders are associated with significant drawbacks. The current systematic review and meta-analysis aimed to reveal the usability, safety, and economic burden of AeroForm-based tissue expanders for breast reconstruction.
Methods
An extensive systematic literature review was implemented from inception to 9 December 2021. All clinical studies that included women with breast cancer subjected to AeroForm-based tissue expansion for breast reconstruction were included in the study.
Results
This systematic review included eleven articles consisting of 748 patients. There were 1220 reconstructed breasts in which 530 (43.44%) breasts were reconstructed using AeroForm devices. AeroForm-based tissue expanders were associated with shorter duration to complete breast expansion (MD-35.22; 95% -46.65, -23.78;P<0.001) and complete reconstruction (MD-30.511; 95% -54.659, -6.636;P=0.013). The overall satisfaction rate of the aesthetic results of the AeroForm expanders was 81.4% (95%CI; 60.3% to 92.6%,P=0.006) and 64.6% (95%CI; 53.8% to 74%,P=0.008) for patients and surgeons. Patients subjected to saline-based breast reconstruction were 1.17 times at high risk to develop breast-related adverse events (RR1.17; 95% 0.86, 1.58; P=0.31). This includes a high risk of mastectomy flap necrosis (RR1.91; 95% 1.03, 3.55;P=0.04) and post-operative wound infection (RR 1.63; 95% 0.91, 2.91;P=0.1).
Conclusion
AeroForm-based tissue expanders represent a new era of breast reconstruction. These devices provided an earlier transition to exchange for the permanent implant with a convenient and comfortable expansion process. This was associated with a high satisfaction rate for patients and surgeons.
Level of Evidence III
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35551440</pmid><doi>10.1007/s00266-022-02901-y</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-9966-9270</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Bias Breast cancer Breast Implants Breast Neoplasms - surgery Carbon dioxide Clinical trials Ethnicity Female Humans Literature reviews Mammaplasty - methods Mastectomy Mastectomy - methods Medicine Medicine & Public Health Meta-analysis Otorhinolaryngology Patients Plastic Surgery Reconstructive surgery Retrospective Studies Review Surgical outcomes Systematic review Tissue Expansion - methods Tissue Expansion Devices Treatment Outcome Usability |
| title | The Impact of Aeroform Tissue Expanders on the Outcomes of Implant-Based Breast Reconstruction; A Systematic Review and Meta-Analysis |
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