Patients with abdominal-based free flap breast reconstruction a decade after surgery: A comprehensive long-term follow-up study.
J Plast Reconstr Aesthet Surg
; 71(9): 1301-1309, 2018 09.
Article
en En
| MEDLINE
| ID: mdl-30025757
ABSTRACT
BACKGROUND:
Abdominal-based free flap has increasingly become the gold standard for breast reconstruction, however long-term evidence of the aesthetic outcome and quality of life is lacking. The present study aims to gain an overview of patients with abdominal-based free flap breast reconstructions in a long-term perspective.METHODS:
Seventy-five patients who received abdominal-based free flap breast reconstructions between 2000-2007 in Uppsala, Sweden were invited back for photographs, 3D imaging and questionnaires. A retrospective chart review was conducted. Patient satisfaction with appearance and quality of life were assessed using the Breast-Q questionnaire. A layman panel and a professional panel rated the aesthetic appearance of the reconstructed breast from photographs and 3D images.RESULTS:
Fifty-five patients participated with a mean age of 52⯱â¯8 years at the time of reconstruction and a mean follow-up time of 11.4⯱â¯1.8 years completed the study. The majority of the patients had received unilateral (85%), delayed reconstructions (73%) with prior radiation (55%). There were 53 patients with DIEP flaps, one with free TRAM flap and one with SIEA flap. Breast-Q scores in the cohort were comparable to normative values of women without breast cancer (pâ¯<â¯0.001). There was a high level of agreement for the aesthetic results of the reconstructions between patient, professionals and layman panels (0.89 ICC, 95% CI 0.83 - 0.93).CONCLUSION:
Abdominal-based free flap reconstructions were effective in achieving a lasting positive aesthetic result and a high quality of life in patients a decade after surgery.Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Calidad de Vida
/
Neoplasias de la Mama
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Satisfacción del Paciente
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Mamoplastia
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Recto del Abdomen
/
Colgajos Tisulares Libres
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
J Plast Reconstr Aesthet Surg
Año:
2018
Tipo del documento:
Article