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The ‘Koebner’s phenomenon’ is a rare clinical response that occurs in patients with pre-existing cutaneous diseases like psoriasis. The phenomenon is triggered by skin incisions, causing an acute development of isomorphic pathological lesions along the lines of the skin trauma in an otherwise normal healthy area. Its occurrence following an immediate silicone implant breast reconstruction could result in severe morbidities. The awareness of this clinical entity and its complications is of paramount importance in preoperative decisions for breast reconstruction; given that they are rare but preventable.
Farber EM, Roth RJ, Aschheim E et al. Role of trauma in isomorphic response in psoriasis. Arch Dermatol. 1965;91:246-251.
M.-F.MA. Koebner Phenomenon: What you don't know may hurt you. Annal of Plastic Surgery. 2000;44(6) :644-645.
Weiss G, Shemer A, Trau H, The Koebner phenomenon: Review of the literature. European Academy Dermatology Venereology. 2002;(16):241-8.
Flatz Lukas, Curdin Conrad. Role of t-cell mediated inflammation in psoriasis: Pathogenesis and Targeted Therapy. Psoriasis: Targets and Therapy. 2013;3: 1-10.
Behranwala KA, Gui GPH. The Koebner phenomenon in myocutaneous flap following immediate breast reconstruction. British Journal of Plastic Surgery. 2002; 55:267-8.
Alolabi N, The Koebner phenomenon and breast reconstruction: Psoriasis eruption along the surgical incision. Canada Journal of Plastic Surgery. 2011;(19):143-4.
Backovic A, Wolfram D. Silicone mammary implants—can we turn back the time? Exp Gerontol. 2007;42(8):713–8.
KYJB, Song JH. Salvage of Infected Breast Implants. Archives of Plastic Surgery. 2017;44(6):516-22
Rifkin WJ, Kantar RS, Cammarata MJ, et al. Impact of Diabetes on 30-Day Complications in Mastectomy and Implant-Based Breast Reconstruction. J Surg Res. 2019;235: 148-159.