Evidence map›Paper›PMID 39830446›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Use of Diced Cartilage for Management of Internal Mammary Vessel Exposure Sites in Autologous Breast Reconstruction.

Ulf Dornseifer, My L Truong, Stephan Grumbrecht, Peter P Pfeiler, Uli D Haide, Philipp Moog, Michael Kimelman

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ulf DornseiferFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, ISAR Klinikum, Munich, Germany.
My L TruongFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, ISAR Klinikum, Munich, Germany.
Stephan GrumbrechtBreast Imaging Division, Radiologie Augsburg Friedberg/Breast Center Augsburg, Augsburg, Germany.
Peter P PfeilerFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, ISAR Klinikum, Munich, Germany.
Uli D HaideFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, ISAR Klinikum, Munich, Germany.
Philipp MoogClinic and Policlinic for Plastic, Reconstructive and Hand Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Michael KimelmanFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, ISAR Klinikum, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exposure of internal mammary vessels in autologous breast reconstruction often requires removal of a rib cartilage segment, which can lead to breast contour deformity. This study evaluated the use of diced cartilage (DC) to counteract substance loss in the microvascular anastomosis area. Methods: This retrospective, single-center cohort study included all breast reconstructions in which DC was used from October 2021 to June 2023. Reconstructions using DC were subdivided based on previous breast radiotherapy (DC versus DC with prior breast radiotherapy [DCR]). The control group consisted of an equal number of consecutive reconstructions performed before the use of DC. The effect of DC on breast contour was investigated using magnetic resonance imaging (>6 months postoperative) and photographic documentation (6-month follow-up). Results: DC was used in 114 of 173 included reconstructions (DC, n = 55; DCR, n = 59; control, n = 59). Magnetic resonance imaging analysis revealed less soft tissue sinking into resection zones in both DC groups (DC 0.2 ± 1.3 mm versus control 6.0 ± 1.6 mm, Conclusions: DC is a safe procedure that prevents contour deformities associated with rib cartilage removal in breast reconstruction, regardless of prior breast irradiation.

Identifiers

PMID39830446
PMCPMC11741217

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.