# Assessment of Acellular Dermal Matrix-Associated Complications With Silicone Implants

## TL;DR

This paper examines complications from using acellular dermal matrix with silicone implants in breast reconstruction and how imaging helps diagnose these issues.

## Contribution

The study provides a case series of ADM complications and categorizes them into early and late findings using imaging techniques.

## Key findings

- Common complications included capsular contracture, folded ADM, and intracapsular collection.
- Imaging techniques like MRI and USG are effective for diagnosing and monitoring ADM-related issues.
- Early and late complications were identified and categorized based on clinical observations.

## Abstract

Acellular dermal matrix (ADM) is defined as an allograft composed of sterile, decellularized, regenerative dermal tissue matrix for soft tissue reconstructive and transplantation purposes. The epidermal layer is removed from the dermal layer to minimize immunological response in the ADM recipient. The idea of using ADM is to improve breast reconstruction and promote faster recovery with fewer complications.

It is expected that ADM will reduce capsular contracture, the most frequent complication of silicone implant surgeries. However, some complications have been related to ADM in breast reconstructive surgeries. In such cases, imaging scans, such as magnetic resonance imaging (MRI) and ultrasonography (USG), can aid in diagnosing and monitoring complications.

In this case series, we share our experience regarding ADM complications in our clinical practice. We showed the most common complications of ADM associated with breast implants in eight patients referred to USG, MRI, mammography, and computed tomography. The more frequent findings were capsular contracture, folded ADM, intracapsular collection, and pericapsular impairment. We also divided the findings into early and late complications.

ADM and its complications associated with breast implants can be diagnosed and followed up with breast imaging scans. Knowledge of ADM presentation and its complications is imperative for diagnostic purposes, managing, and following up patients who undergo these procedures.