title: A Literature Review of Burns in Reconstructed Breasts After Mastectomy.
abstract: OBJECTIVE
  The goal of this literature review is to review and combine case studies of accidental burns to the breast, following mastectomy and immediate breast reconstruction with autologous tissue, implants, or tissue expanders.
  
  
  METHODS
  The authors searched PubMed and Cochrane Library and reviewed cases of burns of reconstructed breasts after mastectomy from July 1985 to May 2015. Only studies in the English language were included in their search. They also report 5 new cases of burns in patients with burns to the breast, which were either reconstructed with implants or tissue expanders at Sheba Medical Center (Ramat Gan, Israel).
  
  
  RESULTS
  The authors found 21 publications regarding burns after breast reconstruction dating from 1985 to 2014, which equaled 59 cases of reported burns in the 21 included publications. The most common causes of burns were due to heat conduction (37/59) followed by solar radiation (19/59) and heat convection (3/59). The majority of the cases were treated by a conservative approach. The 5 new cases added were all due to thermal radiation (5/5). Two of these cases were treated conservatively (2/5), and 3 underwent surgery (3/5).
  
  
  CONCLUSIONS
  The removal of thermoregulatory capabilities of the skin and the thickness of the remaining tissue in the mastectomy procedure are key to understanding the cause of burns to reconstructed breasts.
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University).
authors.forename: Marie
authors.initials: M
authors.lastname: Jaeger
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University).
authors.forename: Yonathan
authors.initials: Y
authors.lastname: Wagman
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University).
authors.forename: Alon
authors.initials: A
authors.lastname: Liran
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University).
authors.forename: Moti
authors.initials: M
authors.lastname: Harats
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University).
authors.forename: Eyal
authors.initials: E
authors.lastname: Winkler
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University); and The Talpiot Medical Leadership Program, Sheba Medical Center, Ramat Gan, Israel.
authors.forename: Josef
authors.initials: J
authors.lastname: Haik
authors.affiliation: The Burn Unit, Department of Plastic and Reconstructive Surgery, Sheba Medical Center (Affiliated to Sackler School of Medicine, Tel-Aviv University); and The Talpiot Medical Leadership Program, Sheba Medical Center, Ramat Gan, Israel.
authors.forename: Ariel
authors.initials: A
authors.lastname: Tessone
mesh_terms: D000061:Accidents, Home; D000328:Adult; D001943:Breast Neoplasms / Q000150:complications* / Q000601:surgery*; D002056:Burns / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy; D008875:Middle Aged; D016896:Treatment Outcome; D014945:Wound Healing