{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T06:54:25Z","timestamp":1760079265091},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1986,10,1]],"date-time":"1986-10-01T00:00:00Z","timestamp":528508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1986,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Breast reconstruction following mastectomy has previously relied on the insertion of a silicone gel implant or the use of a myocutaneous flap. We report the use of an innovation, the inflatable tissue expander, for both immediate and delayed breast reconstruction in 26 patients where soft tissue cover was inadequate to permit the use of the silicone implant. By serial inflation of the tissue expander with saline, sufficient tissue cover was achieved for a second operative placement of a silicone prosthesis of appropriate volume to match the normal breast. To date, 10 patients undergoing delayed reconstruction and 5 of 16 patients with immediate reconstruction have had their final prosthesis inserted, while 3 women are satisfied with the result of the expandable implant and desire no further surgery. Only two technical complications have arisen with loss of the expander in one patient who had had recent radiotherapy and in another the tissue expander was placed much too high on the chest wall. Mechanical failure occurred in three cases where disruption of the seam led to sudden deflation in two and a slow leak from the injection port developed in one. One patient also attempted self-inflation leading to deflation of the tissue expander. The cosmetic results were subjectively and objectively very good with capsular distortion present in only one case. We feel that the inflatable tissue expander is simple and safe to use, may be used for immediate reconstruction without compromising the ablative surgery and should be a choice available to general surgeons for providing safe and cosmetically acceptable reconstructive surgery.<\/jats:p>","DOI":"10.1002\/bjs.1800731019","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T05:58:31Z","timestamp":1172901511000},"page":"817-820","source":"Crossref","is-referenced-by-count":7,"title":["Post-Mastectomy breast reconstruction using the inflatable tissue expander"],"prefix":"10.1093","volume":"73","author":[{"given":"E M","family":"Chisholm","sequence":"first","affiliation":[{"name":"St. James' University Hospital, Leeds and Pontefract General Hospital , Pontefract,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheelagh","family":"Marr","sequence":"additional","affiliation":[{"name":"St. James' University Hospital, Leeds and Pontefract General Hospital , Pontefract,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Macfie","sequence":"additional","affiliation":[{"name":"St. James' University Hospital, Leeds and Pontefract General Hospital , Pontefract,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A C","family":"Broughton","sequence":"additional","affiliation":[{"name":"St. James' University Hospital, Leeds and Pontefract General Hospital , Pontefract,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T G","family":"Brennan","sequence":"additional","affiliation":[{"name":"St. James' University Hospital, Leeds and Pontefract General Hospital , Pontefract,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1986,10,1]]},"reference":[{"key":"2024100215061326900_bib1","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1097\/00006534-198511000-00010","article-title":"Pyschological correlates of immediate versus delayed reconstruction of the breast","volume":"76","author":"Wellisch","year":"1985","journal-title":"Plast Reconstr Surg"},{"key":"2024100215061326900_bib2","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1056\/NEJM198107023050102","article-title":"Comparing radical mastectomy with quadrantectomy, axillary dissection and radiotherapy in patients with small cancers of the breast","volume":"305","author":"Veronesi","year":"1981","journal-title":"N Eng J Med"},{"key":"2024100215061326900_bib3","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/00006534-198508000-00012","article-title":"A 6 year experience with immediate reconstruction after mastectomy for cancer","volume":"76","author":"Noone","year":"1985","journal-title":"Plast Reconstr Surg"},{"key":"2024100215061326900_bib4","doi-asserted-by":"crossref","first-page":"1416","DOI":"10.1002\/1097-0142(19840315)53:6<1416::AID-CNCR2820530633>3.0.CO;2-D","article-title":"Immediate reconstruction of the breast after mastectomy: is it safe?","volume":"53","author":"Webster","year":"1984","journal-title":"Cancer"},{"key":"2024100215061326900_bib5","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00006534-198202000-00001","article-title":"Breast reconstruction after mastectomy using the temporary expander","volume":"68","author":"Radovan","year":"1982","journal-title":"Plast Reconstr Surg"},{"key":"2024100215061326900_bib6","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/00006534-198103000-00007","article-title":"Breast reconstruction following mastectomy: a comparison of submuscular and subcutaneous techniques","volume":"67","author":"Gruber","year":"1981","journal-title":"Plast Reconstr Surg"},{"key":"2024100215061326900_bib7","first-page":"805","article-title":"Subcutaneous mastectomy with delayed insertion of subcutaneous silicone mammary prosthesis. The results of a 8 years experience","volume":"72","author":"Muir","year":"1984","journal-title":"Br J Surg"},{"key":"2024100215061326900_bib8","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1002\/bjs.1800700304","article-title":"Latissimus dorsi reconstruction \u2013 refinement and results","volume":"70","author":"Mendelson","year":"1983","journal-title":"Br J Surg"},{"key":"2024100215061326900_bib9","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1111\/j.1445-2197.1979.tb05869.x","article-title":"Post mastectomy reconstruction using a rectus abdominus musculocutaneous island flap","volume":"49","author":"Robbins","year":"1978","journal-title":"Aust NZ J Surg"},{"key":"2024100215061326900_bib10","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1002\/bjs.1800631023","article-title":"Reconstruction of the breast as a primary and secondary procedure following mastectomy for carcinoma","volume":"63","author":"Watts","year":"1976","journal-title":"Br J Surg"},{"key":"2024100215061326900_bib11","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1097\/00006534-198509000-00014","article-title":"Long term clinical outcome of immediate reconstruction after mastectomy","volume":"76","author":"Georgiade","year":"1985","journal-title":"Plast Reconst Surg"},{"key":"2024100215061326900_bib12","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1097\/00006534-198410000-00005","article-title":"Tissue expansion in soft tissue reconstruction","volume":"74","author":"Radovan","year":"1984","journal-title":"Plast Reconst Surg"},{"key":"2024100215061326900_bib13","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1097\/00006534-198410000-00007","article-title":"Soft tissue expansion: Concepts and complications","volume":"74","author":"Manders","year":"1984","journal-title":"Plast Reconstr Surg"},{"key":"2024100215061326900_bib14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S0094-1298(20)32089-7","article-title":"Effects of radiation therapy on wound healing after mastectomy","volume":"6","author":"Mansfield","year":"1979","journal-title":"Clin Plast Surg"},{"key":"2024100215061326900_bib15","first-page":"125","article-title":"Reconstruction of the breast","volume":"79","author":"Bostwick","year":"1980","journal-title":"Acta Chir Belg"},{"key":"2024100215061326900_bib16","doi-asserted-by":"crossref","first-page":"2738","DOI":"10.1002\/1097-0142(19800601)45:11<2738::AID-CNCR2820451107>3.0.CO;2-M","article-title":"Reconstructive breast surgery following mastectomy and adjunctive radiation therapy","volume":"45","author":"Stabile","year":"1980","journal-title":"Cancer"},{"key":"2024100215061326900_bib17","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/00006534-198005000-00010","article-title":"Breast reconstruction after mastectomy. 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