Acute and chronic mammary periprosthetic histological changes of the muscle
Augmentation mammoplasty with subpectoral prosthesis implantation is a frequent performed procedure in plastic surgery for reconstructive and aesthetic purposes. Although prosthesis implantation in a pocket under the major pectoralis muscle has been related to volumetric and functional alterations,...
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Published in | JPRAS open Vol. 41; pp. 265 - 275 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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01.09.2024
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Abstract | Augmentation mammoplasty with subpectoral prosthesis implantation is a frequent performed procedure in plastic surgery for reconstructive and aesthetic purposes. Although prosthesis implantation in a pocket under the major pectoralis muscle has been related to volumetric and functional alterations, there is not much information about the associated short- and long-term histological changes. Therefore, the aim of our study was to describe the acute and chronic histological muscle alterations associated with subpectoral prosthesis implantation.
We collected samples from patients with breast tissue expander (<6 months after implantation) and prosthesis (>1 year after implantation) and from patients without implantation as a control group. The samples were processed for assessing their histological, histochemical and immunohistochemical properties.
In the control group, no relevant histological findings were identified. Additionally, in the patients with expander, we observed mild augmentation of the internalised nuclei, normal morphology, significant muscle atrophy and fibrosis, whereas in the patients with prosthesis considerable augmentation of internalised nuclei, significant muscle atrophy, fibrosis and alteration of normal muscle morphology were observed.
Prosthesis implantation induces histological changes in the periprosthetic striated muscle. Chronic fibrosis and inflammation play key roles in this process, which should be characterised in more detail from the histological and molecular biological perspective. |
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AbstractList | Background: Augmentation mammoplasty with subpectoral prosthesis implantation is a frequent performed procedure in plastic surgery for reconstructive and aesthetic purposes. Although prosthesis implantation in a pocket under the major pectoralis muscle has been related to volumetric and functional alterations, there is not much information about the associated short- and long-term histological changes. Therefore, the aim of our study was to describe the acute and chronic histological muscle alterations associated with subpectoral prosthesis implantation. Materials and Method: We collected samples from patients with breast tissue expander (<6 months after implantation) and prosthesis (>1 year after implantation) and from patients without implantation as a control group. The samples were processed for assessing their histological, histochemical and immunohistochemical properties. Results: In the control group, no relevant histological findings were identified. Additionally, in the patients with expander, we observed mild augmentation of the internalised nuclei, normal morphology, significant muscle atrophy and fibrosis, whereas in the patients with prosthesis considerable augmentation of internalised nuclei, significant muscle atrophy, fibrosis and alteration of normal muscle morphology were observed. Conclusion: Prosthesis implantation induces histological changes in the periprosthetic striated muscle. Chronic fibrosis and inflammation play key roles in this process, which should be characterised in more detail from the histological and molecular biological perspective. Augmentation mammoplasty with subpectoral prosthesis implantation is a frequent performed procedure in plastic surgery for reconstructive and aesthetic purposes. Although prosthesis implantation in a pocket under the major pectoralis muscle has been related to volumetric and functional alterations, there is not much information about the associated short- and long-term histological changes. Therefore, the aim of our study was to describe the acute and chronic histological muscle alterations associated with subpectoral prosthesis implantation.BackgroundAugmentation mammoplasty with subpectoral prosthesis implantation is a frequent performed procedure in plastic surgery for reconstructive and aesthetic purposes. Although prosthesis implantation in a pocket under the major pectoralis muscle has been related to volumetric and functional alterations, there is not much information about the associated short- and long-term histological changes. Therefore, the aim of our study was to describe the acute and chronic histological muscle alterations associated with subpectoral prosthesis implantation.We collected samples from patients with breast tissue expander (<6 months after implantation) and prosthesis (>1 year after implantation) and from patients without implantation as a control group. The samples were processed for assessing their histological, histochemical and immunohistochemical properties.Materials and MethodWe collected samples from patients with breast tissue expander (<6 months after implantation) and prosthesis (>1 year after implantation) and from patients without implantation as a control group. The samples were processed for assessing their histological, histochemical and immunohistochemical properties.In the control group, no relevant histological findings were identified. Additionally, in the patients with expander, we observed mild augmentation of the internalised nuclei, normal morphology, significant muscle atrophy and fibrosis, whereas in the patients with prosthesis considerable augmentation of internalised nuclei, significant muscle atrophy, fibrosis and alteration of normal muscle morphology were observed.ResultsIn the control group, no relevant histological findings were identified. Additionally, in the patients with expander, we observed mild augmentation of the internalised nuclei, normal morphology, significant muscle atrophy and fibrosis, whereas in the patients with prosthesis considerable augmentation of internalised nuclei, significant muscle atrophy, fibrosis and alteration of normal muscle morphology were observed.Prosthesis implantation induces histological changes in the periprosthetic striated muscle. Chronic fibrosis and inflammation play key roles in this process, which should be characterised in more detail from the histological and molecular biological perspective.ConclusionProsthesis implantation induces histological changes in the periprosthetic striated muscle. Chronic fibrosis and inflammation play key roles in this process, which should be characterised in more detail from the histological and molecular biological perspective. Augmentation mammoplasty with subpectoral prosthesis implantation is a frequent performed procedure in plastic surgery for reconstructive and aesthetic purposes. Although prosthesis implantation in a pocket under the major pectoralis muscle has been related to volumetric and functional alterations, there is not much information about the associated short- and long-term histological changes. Therefore, the aim of our study was to describe the acute and chronic histological muscle alterations associated with subpectoral prosthesis implantation. We collected samples from patients with breast tissue expander (<6 months after implantation) and prosthesis (>1 year after implantation) and from patients without implantation as a control group. The samples were processed for assessing their histological, histochemical and immunohistochemical properties. In the control group, no relevant histological findings were identified. Additionally, in the patients with expander, we observed mild augmentation of the internalised nuclei, normal morphology, significant muscle atrophy and fibrosis, whereas in the patients with prosthesis considerable augmentation of internalised nuclei, significant muscle atrophy, fibrosis and alteration of normal muscle morphology were observed. Prosthesis implantation induces histological changes in the periprosthetic striated muscle. Chronic fibrosis and inflammation play key roles in this process, which should be characterised in more detail from the histological and molecular biological perspective. |
Author | Sánchez-Medianero, T. Jimena, I. Gálvez-Medina, M.J. Ortega-Salas, R. Rodríguez-Cano, M.A. Leiva-Cepas, F. Sanz-Zorrilla, A. Sánchez-Ramírez, I. Cámara-Pérez, J. Osuna-Soto, J. |
Author_xml | – sequence: 1 givenname: J. orcidid: 0000-0001-6021-7365 surname: Cámara-Pérez fullname: Cámara-Pérez, J. organization: Department of Plastic and Reparative Surgery, Reina Sofía University Hospital, Córdoba, Spain – sequence: 2 givenname: I. orcidid: 0000-0002-5095-6962 surname: Jimena fullname: Jimena, I. organization: Department of Morphological and Sociosanitary Sciences, Histology Teaching Unit, Faculty of Medicine and Nursing, University of Cordoba, Córdoba, Spain – sequence: 3 givenname: M.A. orcidid: 0000-0001-7847-6701 surname: Rodríguez-Cano fullname: Rodríguez-Cano, M.A. organization: Department of General and Digestive Surgery, Jaen University Hospital, Jaén, Spain – sequence: 4 givenname: A. orcidid: 0000-0002-0934-9466 surname: Sanz-Zorrilla fullname: Sanz-Zorrilla, A. organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain – sequence: 5 givenname: J. orcidid: 0000-0002-6856-9020 surname: Osuna-Soto fullname: Osuna-Soto, J. organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain – sequence: 6 givenname: I. surname: Sánchez-Ramírez fullname: Sánchez-Ramírez, I. organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain – sequence: 7 givenname: T. surname: Sánchez-Medianero fullname: Sánchez-Medianero, T. organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain – sequence: 8 givenname: M.J. surname: Gálvez-Medina fullname: Gálvez-Medina, M.J. organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain – sequence: 9 givenname: R. surname: Ortega-Salas fullname: Ortega-Salas, R. organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain – sequence: 10 givenname: F. orcidid: 0000-0002-0014-3816 surname: Leiva-Cepas fullname: Leiva-Cepas, F. email: h62lecef@uco.es organization: Unit of Pathology, Reina Sofia University Hospital, Cordoba, Spain |
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Cites_doi | 10.1055/s-0039-1696985 10.1097/TA.0000000000001290 10.1128/JCM.00096-09 10.1097/00006534-199809020-00019 10.1055/s-0041-1727272 10.4103/0970-0358.96566 10.1093/asj/sjy199 10.3390/ijms22136689 10.1016/j.amsu.2017.07.048 10.1007/s00018-016-2285-z 10.1097/00006534-199802000-00020 10.1097/00006534-199309001-00022 10.1016/j.jbiomech.2014.07.015 10.1002/mus.25589 10.1097/00006534-198410000-00005 10.1016/j.cell.2007.03.044 10.1007/s002669900268 10.1007/s40122-020-00150-y 10.1097/PRS.0000000000001874 |
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Keywords | Connective tissue Implant Prosthesis Skeletal muscle Fibrosis |
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article-title: Chronic pain following cosmetic breast surgery: A comprehensive review publication-title: Pain Ther doi: 10.1007/s40122-020-00150-y contributor: fullname: Urits – volume: 137 start-page: 62 issue: 1 year: 2016 ident: 10.1016/j.jpra.2024.06.010_bib0003 article-title: Volumetric evaluation of the mammary gland and pectoralis major muscle following subglandular and submuscular breast augmentation publication-title: Plast Reconstr Surg doi: 10.1097/PRS.0000000000001874 contributor: fullname: Weck Roxo |
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SubjectTerms | Connective tissue Fibrosis Implant Original Prosthesis Skeletal muscle |
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Title | Acute and chronic mammary periprosthetic histological changes of the muscle |
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