Keller Funnel Efficacy in No Touch Breast Augmentation and Reconstruction: A Systematic Review
| dc.contributor.author | Morkuzu, Suat | |
| dc.contributor.author | Ozdemir, Mehmet | |
| dc.contributor.author | Leach, Garrison A. A. | |
| dc.contributor.author | Kanapathy, Muholan | |
| dc.contributor.author | Mosahebi, Afshin | |
| dc.contributor.author | Reid, Chris M. M. | |
| dc.date.accessioned | 2024-04-24T17:08:16Z | |
| dc.date.available | 2024-04-24T17:08:16Z | |
| dc.date.issued | 2022 | |
| dc.department | Dicle Üniversitesi | en_US |
| dc.description.abstract | Background:Breast augmentation is one of the most common aesthetic surgical procedures. Tissue expansion followed by permanent implants is the most frequent postmastectomy breast reconstruction method. Implant contamination remains a critical problem with these procedures, resulting in acute infection as well as capsular contracture. To reduce the risk of implant contamination, the no-touch technique utilizing the Keller funnel has been adopted by many surgeons. This systematic review aims to investigate the advantages of the Keller funnel method for breast augmentation-reconstruction. Methods:A systematic review of PubMed, Embase, the Cochrane database, and Google Scholar was performed between 2005 and 2021. All clinical-based, retrospective and prospective studies utilizing the Keller funnel method for breast implant insertion were selected. Results:Six studies were identified for evaluation: five were retrospective cohorts and one was a prospective trial. No randomized controlled trials were found. Outcomes reported included lower rates of capsular contracture (RR, 0.42; P = 0.0006; 95% CI, 0.25-0.69), shorter incision lengths (35.5 +/- 2.1 mm), less insertion time (mean = 6 seconds), and decreased complications, and one paper reported ultimately greater patient satisfaction with outcomes (BREAST-Q Score: 92%). Conclusions:This review suggests that the Keller funnel is a useful method for no-touch breast augmentation and reconstruction surgery. The Keller funnel reduces subsequent capsular contracture rate, surgical time, and incision length and allows for easier insertion. However, our findings support recommendation of a prospective randomized controlled clinical trial with larger population size and follow-up intervals. | en_US |
| dc.identifier.doi | 10.1097/GOX.0000000000004676 | |
| dc.identifier.issn | 2169-7574 | |
| dc.identifier.issue | 11 | en_US |
| dc.identifier.pmid | 36448016 | |
| dc.identifier.scopus | 2-s2.0-85149628178 | |
| dc.identifier.scopusquality | Q2 | |
| dc.identifier.uri | https://doi.org/10.1097/GOX.0000000000004676 | |
| dc.identifier.uri | https://hdl.handle.net/11468/17280 | |
| dc.identifier.volume | 10 | en_US |
| dc.identifier.wos | WOS:000891161300003 | |
| dc.identifier.wosquality | N/A | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | en_US |
| dc.publisher | Lippincott Williams & Wilkins | en_US |
| dc.relation.ispartof | Plastic and Reconstructive Surgery-Global Open | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.subject | [No Keyword] | en_US |
| dc.title | Keller Funnel Efficacy in No Touch Breast Augmentation and Reconstruction: A Systematic Review | en_US |
| dc.title | Keller Funnel Efficacy in No Touch Breast Augmentation and Reconstruction: A Systematic Review | |
| dc.type | Review Article | en_US |
