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Kim HY, Im HY, Chang HK, Jeong HD, Park JH, Kim HI, Yi HS, Kim YS. Correlation between Collagen Type I/III Ratio and Scar Formation in Patients Undergoing Immediate Reconstruction with the Round Block Technique after Breast-Conserving Surgery. Biomedicines 2023; 11:biomedicines11041089. [PMID: 37189707 DOI: 10.3390/biomedicines11041089] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 03/26/2023] [Accepted: 03/27/2023] [Indexed: 04/07/2023] Open
Abstract
The aim of this study was to investigate the relationship between the collagen type I/III ratio and scarring in patients who underwent immediate reconstruction with the round block technique (RBT) after breast conservation surgery. Seventy-eight patients were included, and demographic and clinical characteristics were recorded. The collagen type I/III ratio was measured using immunofluorescence staining and digital imaging, and scarring was assessed using the Vancouver Scar Scale (VSS). The mean VSS scores were 1.92 ± 2.01 and 1.79 ± 1.89, as assessed by two independent plastic surgeons, with good reliability of the scores. A significant positive correlation was found between VSS and the collagen type I/III ratio (r = 0.552, p < 0.01), and a significant negative correlation was found between VSS and the collagen type III content (r = −0.326, p < 0.05). Multiple linear regression analysis showed that the collagen type I/III ratio had a significant positive effect on VSS (β = 0.415, p = 0.028), whereas the collagen type I and collagen type III content had no significant effect on VSS. These findings suggest that the collagen type I/III ratio is associated with scar development in patients undergoing RBT after breast conservation surgery. Further research is needed to develop a patient-specific scar prediction model based on genetic factors affecting the collagen type I/III ratio.
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Affiliation(s)
- Hyo-young Kim
- We Are the Plastic Surgery, 415, Haeun-daero, Haeundae-gu, Busan 48064, Republic of Korea
| | - Ho-young Im
- Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University, 262, Seo-gu, Busan 49267, Republic of Korea
| | - Hee-kyung Chang
- Department of Pathology, College of Medicine, Kosin University, 262, Seo-gu, Busan 49267, Republic of Korea
| | - Hwan-do Jeong
- Kosin Innovative Smart Healthcare Research Center, Kosin University Gospel Hospital, 262, Seo-gu, Busan 49267, Republic of Korea
| | - Jin-hyung Park
- Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University, 262, Seo-gu, Busan 49267, Republic of Korea
| | - Hong-il Kim
- Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University, 262, Seo-gu, Busan 49267, Republic of Korea
| | - Hyung-suk Yi
- Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University, 262, Seo-gu, Busan 49267, Republic of Korea
| | - Yoon-soo Kim
- Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University, 262, Seo-gu, Busan 49267, Republic of Korea
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Torre G, Avvedimento S, Guastafierro A, Faenza M, Pieretti G, Cuomo R, Izzo S, Ciccarelli F. Brachial plexus block versus wide-awake local anaesthesia for open reduction internal fixation surgery in distal radius fracture: A preliminary retrospective report. J Plast Reconstr Aesthet Surg 2021; 74:2776-2820. [PMID: 33879413 DOI: 10.1016/j.bjps.2021.03.065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 11/03/2020] [Accepted: 03/13/2021] [Indexed: 12/01/2022]
Affiliation(s)
- Guglielmo Torre
- Division of Plastic Surgery, Ospedale Accreditato Villa dei Fiori, Acerra, Naples, Italy; Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Italy
| | - Stefano Avvedimento
- Division of Plastic Surgery, Ospedale Accreditato Villa dei Fiori, Acerra, Naples, Italy
| | - Antonio Guastafierro
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Study degli Studi della Campania "Luigi Vanvitelli", Viale dei Pini, 6 Volla (NA), 80140 Naples, Italy.
| | - Mario Faenza
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Study degli Studi della Campania "Luigi Vanvitelli", Viale dei Pini, 6 Volla (NA), 80140 Naples, Italy
| | - Gorizio Pieretti
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Study degli Studi della Campania "Luigi Vanvitelli", Viale dei Pini, 6 Volla (NA), 80140 Naples, Italy
| | | | - Sara Izzo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Study degli Studi della Campania "Luigi Vanvitelli", Viale dei Pini, 6 Volla (NA), 80140 Naples, Italy
| | - Feliciano Ciccarelli
- Division of Plastic Surgery, Ospedale Accreditato Villa dei Fiori, Acerra, Naples, Italy
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