乳房植入物相关的大细胞淋巴瘤（BIA-ALCL）及其与大质地乳房植入物的关联，可能已经促使整形外科医生改变了他们的乳房增大和乳房重建实践。我们对荷兰整形外科医生进行了一项调查，了解BIA-ALCL对他们选择乳房植入物质地和放置技术的影响。在线问卷在荷兰整形外科医生协会（NVPC）的所有会员中分发。描述性数据以频率和百分比呈现。采用边缘同质性检验来分析技术变更的成对名义数据。共有63名整形外科医生填写了问卷。大多数受访者因BIA-ALCL而改变了乳房植入物质地的使用，不论是在乳房增大还是乳房重建中（分别为75.4％和69.8％，两者均为统计显著，p＜0.001）。微质地和光滑/纳米质地的乳房植入物现在最常用。BIA-ALCL并没有影响乳房增大和重建的放置技术（分别为87.7％和94.3％）。双平面乳房植入物放置仍然是乳房增大中最受欢迎的技术，而肌肉下乳房植入物放置仍然是乳房重建中最受欢迎的技术。BIA-ALCL在荷兰整形外科医生的美容和重建乳房手术中对大质地乳房植入物的使用产生了重大影响。乳房植入物放置技术并没有受到影响。 ©作者2023年。牛津大学出版社代表美容协会。

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) and its association with macrotextured breast implants may have induced plastic surgeons to change their breast augmentation and breast reconstruction practice.We surveyed Dutch plastic surgeons about the effects of BIA-ALCL on their choice of breast implant texture and placement technique.An online questionnaire was distributed among all members of the Dutch Association of Plastic Surgeons (NVPC). Descriptive data were presented as frequencies and percentages. Technique alterations were analyzed using marginal homogeneity test for paired nominal data.A total of 63 plastic surgeons completed the questionnaire. The majority of respondents altered implant texture use due to BIA-ALCL for both breast augmentation and reconstruction (75.4% and 69.8%, respectively; both being statistically significant, p<0.001). Microtextured and smooth/nanotextured breast implants are now most frequently used. BIA-ALCL did not influence the placement technique in breast augmentation and reconstruction (87.7% and 94.3%, respectively). Dual-plane breast implant placement is still the most favored technique in breast augmentation and submuscular placement is still most favored in breast reconstruction.BIA-ALCL has had a significant impact on the use of macrotextured breast implants by Dutch plastic surgeons in both aesthetic and reconstructive breast surgery. The breast implant placement technique has not been affected.© The Author(s) 2023. Published by Oxford University Press on behalf of the Aesthetic Society.