Analysis of Aesthetic Outcomes and Patient Satisfaction After Delayed-Immediate Autologous Breast Reconstruction.

Abstract:

BACKGROUND:Patients with breast cancer frequently opt to undergo breast reconstruction after mastectomy. The timing and aesthetic outcome of the breast reconstruction may be affected by the need for radiation therapy (RT). Delayed-immediate autologous reconstruction (DIAR) is a novel surgical approach for patients in whom the need for adjuvant RT after mastectomy is preoperatively unknown. AIM:We sought to evaluate the difference in clinical outcomes, patient satisfaction, and cosmetic results between DIAR and patients who underwent delayed autologous reconstruction. MATERIALS AND METHODS:A total of 19 DIAR and 19 delayed patients were retrospectively included.Patient demographics, surgical characteristics, and complications were obtained from patient files. Patients scored their satisfaction using the breast-Q questionnaire, and independent reviewers scored cosmetic outcomes, including skin quality/color, scar formation, symmetry, breast contour/size/position, and overall aesthetic outcome. The DIAR patients were matched to delayed patients based on age, body mass index, and unilateral or bilateral reconstruction. RESULTS:The median age in the delayed group was 48 years (range, 31-61 years) and 46 years (range, 29-64 years) in the DIAR group, with a median body mass index of 28.8 (range, 21.4-40.5) and 28.6 (range, 24-1.9), respectively.There were no significant differences in demographics between the two groups. In total, 16 patients underwent unilateral reconstruction and 22 patients bilateral reconstruction. Delayed-immediate autologous reconstruction was associated with a higher infection rate compared with delayed reconstruction, 8 and 1, respectively (P = 0.026). All infections in the DIAR group were tissue expander-related. The DIAR patients had significantly better breast contour/size/position and overall aesthetics compared with the delayed reconstruction group (P = 0.001). In addition, patients who did not receive RT had significant better cosmetic outcome (P < 0.001). There were no significant differences in patient satisfaction between the DIAR and delayed group. CONCLUSION:Delayed-immediate autologous reconstruction should be considered as an option for patients wanting autologous reconstruction when the need for RT remains unknown. Delayed-immediate autologous reconstruction demonstrates better breast contour/size/position and overall aesthetic outcome.

journal_name

Ann Plast Surg

authors

Huis in 't Veld EA,Long C,Sue GR,Chattopadhyay A,Lee GK

doi

10.1097/SAP.0000000000001418

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

S303-S307

issue

5S Suppl 5

eissn

0148-7043

issn

1536-3708

journal_volume

80

pub_type

杂志文章
  • Experimental reproduction of free flap errors: a new model of thrombosis.

    abstract::Surgical errors in the length and orientation of a flap pedicle can result in kinks, twists, or tension on the pedicle vessels. When these errors occur together with the microvascular repairs associated with free flap transfer, thrombosis and flap failure may be the outcome. A model was designed to simulate these even...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199405000-00006

    authors: Ozbek MR,Deune EG,Cooley BC,Khouri RK

    更新日期:1994-05-01 00:00:00

  • Tissue pH monitoring in microsurgery: a preliminary evaluation of continuous tissue pH monitoring as an indicator of perfusion disturbances in microvascular free flaps.

    abstract::In an experiment using a continuous tissue pH monitoring system, selective occlusion of the vessels supplying lower abdominal island flaps in Sprague-Dawley rats resulted in predictable tissue pH changes. Arterial occlusion resulted in a rapid fall in pH. In all three experimental groups, the steepest rate of pH drop ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198310000-00013

    authors: Raskin DJ,Erk Y,Spira M,Melissinos EG

    更新日期:1983-10-01 00:00:00

  • Outcome and management of infected wounds after total hip arthroplasty.

    abstract::Infected wounds after total hip arthroplasty can be limb threatening. Management strategies are designed to eradicate infection, to obtain stable wound coverage, and to preserve the prosthesis. However, there is no general consensus for optimal management. The authors reviewed their 7-year combined orthopaedic and pla...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200212000-00006

    authors: Gusenoff JA,Hungerford DS,Orlando JC,Nahabedian MY

    更新日期:2002-12-01 00:00:00

  • Reduction of burn scar formation by halofuginone-eluting silicone gel sheets: a controlled study on nude mice.

    abstract::Burn scar formations can cause disfiguration and loss of dermal function. The purpose of this study was to examine whether application of modified silicone gel sheets with an antifibrotic drug halofuginone-eluting hybrid surface produce an effect on scar development. There were a total of 2 animal groups. The athymic ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31824b3e06

    authors: Zeplin PH

    更新日期:2012-03-01 00:00:00

  • Microsurgical ear replantation without venous repair: failure of development of venous channels despite patency of arterial anastomosis for 14 days.

    abstract::The authors describe a case of microvascular ear replantation with repair of the artery only and medicinal leech therapy that survived for 14 days but ultimately failed as a result of the absence of development of venous channels between the replant and the recipient bed. A 35-year-old man presented with complete avul...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200104000-00016

    authors: Akyürek M,Safak T,Keçik A

    更新日期:2001-04-01 00:00:00

  • Correction of frontal bone hypertrophy with setback osteotomy and hydroxyapatite cement.

    abstract::This case report illustrates a method of correction for severe hypertrophy of the frontal bone. Accurate preoperative assessment including physical examination, photographs, and radiological studies are necessary. The anterior table of the frontal bone is removed, recontoured, and stabilized to the adjacent bone while...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200044050-00017

    authors: Nahabedian MY,Al-Shunnar B,Manson PN

    更新日期:2000-05-01 00:00:00

  • Intraoral vertical ramus osteotomy for correction of mandibular prognathism: long-term stability.

    abstract::Various techniques and modifications have been introduced in the treatment of mandibular prognathism. However, there are still few reports concerning long-term stability, especially using the intraoral vertical ramus osteotomy (IVRO) method. The purpose of this study was to investigate the long-term stability for corr...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318153f3ee

    authors: Chen CM,Lee HE,Yang CF,Shen YS,Huang IY,Tseng YC,Lai ST

    更新日期:2008-07-01 00:00:00

  • The ideal split-thickness skin graft donor site dressing: rediscovery of polyurethane film.

    abstract::The almost single disadvantage of polyurethane film dressings, an uncontrolled leakage, is probably as often described as its numerous advantages for split-thickness skin graft donor sites. We solved this problem by perforating the polyurethane film, which permits a controlled leakage into a secondary absorbent dressi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31818790b4

    authors: Dornseifer U,Fichter AM,Herter F,Sturtz G,Ninkovic M

    更新日期:2009-08-01 00:00:00

  • Management of Incidental Hernia Discovered During Abdominal Contouring in Post-Bariatric Surgery Patients.

    abstract:PURPOSE:An increase in bariatric surgery has led to a rise in postbariatric contouring procedures. Despite a comprehensive preoperative assessment, body habitus in these patients may significantly limit the abdominal exam. Abdominal contouring procedures typically elevate large portions of the skin and fat off the abdo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001546

    authors: Levy AS,Dinesh A,Ahmed L,Morrison N,Engdahl R

    更新日期:2018-11-01 00:00:00

  • Prophylactic subcutaneous total glandectomy for mammary cystic disease, with immediate primary breast reconstruction.

    abstract::Seventeen whole-breast tissue specimens of mammary cystic disease were prepared using Marcum's whole-mounting technique. Histological studies were performed on from 10 to 19 slides of tissue containing the suspected pathological foci. Cysts in the cleared breast tissues were numerous, and cyst walls were covered by si...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-197911000-00005

    authors: Amaaki T,Yasumura K,Kami T,Tahara H

    更新日期:1979-11-01 00:00:00

  • Chest wall reconstruction using iliac bone allografts and muscle flaps.

    abstract::Technically we can divide full-thickness thoracic reconstruction into 2 parts: providing a rigid support and ensuring well-vascularized coverage. Since 1986, the authors' center has had ample experience with bone banks and the use of cryopreserved bone grafts, which led them to consider the possibility of using these ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000099961.00590.9b

    authors: Garcia-Tutor E,Yeste L,Murillo J,Aubá C,Sanjulian M,Torre W

    更新日期:2004-01-01 00:00:00

  • Intratarsal fixation at the same level as the skin incision to reduce asymmetric double eyelids: evaluation of symmetry using photogrammetry.

    abstract::One of the most common complications of double eyelid operations is asymmetry. To reduce asymmetry, we fixed the dermis to the tarsal plate at the same level as the skin incision, and objectively evaluated the symmetry of the height using photogrammetry.Of 30 patients who had double eyelid operations by the intratarsa...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181b022e3

    authors: Han K,Yeo H,Choi TH,Son D,Kim JH

    更新日期:2010-03-01 00:00:00

  • Reconstruction of the distal foot dorsum with a distally based extensor digitorum brevis muscle flap.

    abstract::We have successfully applied a reverse flow island flap of extensor digitorum brevis muscle for coverage of tissue defects in the distal portion of the foot dorsum in 2 patients. This flap covered the metatarsophalangeal area well with cadaver limb dissection and seems useful to cover the defect in the distal foot dor...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199207000-00015

    authors: Kurata S,Hashimoto H,Terashi H,Honda T,Takayasu S

    更新日期:1992-07-01 00:00:00

  • Clinical Application of Precise Composite Breast Augmentation.

    abstract:OBJECTIVE:For thin women with little subcutaneous fat and micromastia, they could not obtain ideal results by choosing autologous fat breast augmentation or prosthesis-only breast augmentation. To address these problems, we combined autologous fat and prosthesis for breast augmentation, and the clinical results were sa...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002093

    authors: Shi Y,Sun H,Fang J,Yang Z,Jiang P,Tan X

    更新日期:2019-10-01 00:00:00

  • Direct-To-Implant and 2-Stage Breast Reconstruction After Nipple Sparing Mastectomy: Results of a Retrospective Comparison.

    abstract::Breast reconstruction after nipple sparing mastectomy (NSM) plays, nowadays, a fundamental role in breast cancer management. There is no consensus on the best implant-based reconstruction technique, considering 2 stages (expander-prosthesis) or direct-to-implant (DTI). A retrospective review of consecutive adult femal...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001893

    authors: Pallara T,Cagli B,Fortunato L,Altomare V,Loreti A,Grasso A,Manna E,Persichetti P

    更新日期:2019-10-01 00:00:00

  • High risk of rhabdomyolysis and acute kidney injury after traumatic limb compartment syndrome.

    abstract:PURPOSE:Rhabdomyolysis often occurs after traumatic compartment syndrome, and high morbidity and mortality have been reported with the acute kidney injury that develops subsequently. We focused on the risk factors for rhabdomyolysis and acute kidney injury in patients with traumatic compartment syndrome. We also analyz...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000460

    authors: Tsai WH,Huang ST,Liu WC,Chen LW,Yang KC,Hsu KC,Lin CT,Ho YY

    更新日期:2015-05-01 00:00:00

  • Correction of the alveolar gap and nostril deformity by presurgical passive orthodontia in the unilateral cleft lip.

    abstract::The use of the nasoalveolar molding technique (NAM) aims to reduce passively the width of the alveolar gap, while improving the AP discrepancy but also focusing on the nose. We developed a within-subjects study in which 11 infants with unilateral lip deformity and varying degrees of alveolar gaps were treated by NAM. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000259001.98869.d8

    authors: Jaeger M,Braga-Silva J,Gehlen D,Sato Y,Zuker R,Fisher D

    更新日期:2007-11-01 00:00:00

  • Unilateral Cleft Lip Repair: A Quantitative Scale Assessment of Postoperative Lip and Nose Scars Across 2 Operative Techniques.

    abstract:BACKGROUND:There is no quantitative evidence supporting one unilateral cleft lip (UCL) repair technique over the other with regard to scarring. We sought to evaluate the difference between the extended Mohler and Millard techniques, using 3 scar assessment scales. METHODS:Postoperative frontal and basal photographs of...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001991

    authors: Ramly EP,Eisemann BS,Kantar RS,Alfonso AR,Wang M,Diaz-Siso JR,Staffenberg DA,Flores RL

    更新日期:2019-12-01 00:00:00

  • A review of the use of maggots in wound therapy.

    abstract::Chronic wounds have been defined as those that do not follow the orderly manner of healing, and thus do not achieve closure. Such wounds are notoriously difficult to treat and the number of treatments around attest to the fact that management of chronic wounds is not possible with one agent and definitely never achiev...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e318053eb5e

    authors: Gupta A

    更新日期:2008-02-01 00:00:00

  • Blunt traumatic rupture of the abdominal wall musculature.

    abstract::Only 38 cases of blunt traumatic rupture of the anterior abdominal wall musculature have been described in the literature to date. We describe a patient who sustained a complete transection of the right and a partial disruption of the left rectus abdominis muscle as well as multiple associated injuries secondary to bl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198407000-00012

    authors: Metzdorff MT,Miller SH,Smiley P,Klabacha ME

    更新日期:1984-07-01 00:00:00

  • Surgical correction of breast deformities following long-lasting complications of polyurethane-covered implants.

    abstract::Breast deformities following long-lasting complications associated with the use of polyurethane prostheses are encountered with increasing frequency in our practice. Patients with this problem often feel frustrated after a long period of unsuccessful treatment and multiple operations. The anatomopathological bases of ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199006000-00003

    authors: Berrino P,Franchelli S,Santi P

    更新日期:1990-06-01 00:00:00

  • Marriage of hard and soft tissues of the face revisited: when distraction meets microsurgery.

    abstract:BACKGROUND:Patients with craniofacial anomalies can have hard and soft tissue deficiencies. In some cases, distraction osteogenesis can restore the bony deficiencies, but the soft tissue contour defect remains problematic. For these patients, the union of distraction osteogenesis and microvascular free flaps (MVFF) can...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000263453.42788.67

    authors: Spector JA,Warren SM,Singh SP,McCarthy JG,Siebert JW

    更新日期:2007-07-01 00:00:00

  • Use of the balloon dissector in minimally invasive aesthetic and reconstructive surgery.

    abstract::The use of minimally invasive surgery continues to evolve in all fields of surgery with new developments in techniques and instrumentation. One instrument that has evolved and become useful in the field of plastic surgery is the balloon dissector. The purpose of this paper is to examine the role of the balloon dissect...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199803000-00002

    authors: Ip TY,Aponte R,Koger KE,German G,Zobrist R,Levin LS

    更新日期:1998-03-01 00:00:00

  • The glomangioma in the differential diagnosis of vascular malformations.

    abstract::Glomus tumors develop from a thermoregulatory unit called the glomus body which is found in high density within the digits of both the hands and feet. To note, even though less frequently, these tumors can present in extradigital locations. Usually it presents as a small, 1-cm bluish nodule. Glomangioma (multiple glom...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000222729.59856.e1

    authors: Myers RS,Lo AK,Pawel BR

    更新日期:2006-10-01 00:00:00

  • Fate of exposed breast implants in augmentation mammoplasty.

    abstract::Exposure of silicone breast implants usually leads to infection and extrusion. According to the literature, implant extrusion rates are not higher than 2% 1 and removal of the implant is recommended. 2 During the past 3 years, the authors dealt with eight implant exposures (six women: two cases of bilateral exposure a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000044251.40733.2B

    authors: Fodor L,Ramon Y,Ullmann Y,Eldor L,Peled IJ

    更新日期:2003-05-01 00:00:00

  • Patient-Reported Outcome Measures in Plastic Surgery: An Introduction and Review of Clinical Applications.

    abstract::Clinical care is often directed at improving patient's quality of life, the effectiveness of which can be measured by objective or subjective outcomes. Surgical intervention, especially in plastic and reconstructive surgery, can often provide hard objective measures, for example, breast size reduction after bilateral ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001894

    authors: Sharma K,Steele K,Birks M,Jones G,Miller G

    更新日期:2019-09-01 00:00:00

  • Divided latissimus dorsi musculocutaneous flap for chest wall radionecrosis.

    abstract::A 69-year-old woman with a history of mastectomy and radiotherapy for breast carcinoma demonstrated extensive anterior thoracic wall radionecrosis 22 years later. The latissimus dorsi musculocutaneous flap was chosen to repair two distant ulcerative defects. Chest wall coverage was performed by dividing the muscle int...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199410000-00011

    authors: Rouanet P,Jozwik M,Pujol H

    更新日期:1994-10-01 00:00:00

  • Morbidity in pediatric burns, toxic shock syndrome, and antibiotic prophylaxis: a retrospective comparative study.

    abstract::The prophylactic use of antibiotic for pediatric burns has been suggested as a possible means of reduction of toxic shock syndrome. In our study, we review 1250 burn cases during a 16-year period (1983-1999). There was a change in protocol during this period (after 1991, all pediatric burn received prophylactic antibi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31829be8be

    authors: Mulgrew S,Khoo A,Cartwright R,Reynolds N

    更新日期:2014-01-01 00:00:00

  • Suicide by burning: epidemiological and clinical profiles.

    abstract::Self-immolation constitutes a rare form of suicide in developed countries, though it accounts for unique injury characteristics in the burn intensive care unit. The aim of this study was to present the epidemiological and clinical features of patients burned during a suicidal attempt seen in a North Rhine-Westphalia b...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182071f83

    authors: Theodorou P,Phan VT,Weinand C,Maegele M,Maurer CA,Perbix W,Leitsch S,Lefering R,Spilker G

    更新日期:2011-04-01 00:00:00

  • Prospective, randomized trial of splinting after carpal tunnel release.

    abstract::To determine the possible beneficial effect of postoperative splint immobilization after open carpal tunnel release, we performed a prospective, randomized study comparing 2 weeks of postoperative wrist splinting versus a bulky dressing only. Forty patients with 43 carpal tunnel releases were evaluated. There were no ...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000637-199507000-00004

    authors: Bury TF,Akelman E,Weiss AP

    更新日期:1995-07-01 00:00:00