Frontiers in Oncologic Reconstruction

Samra, Fares; Sobti, Nikhil; Nelson, Jonas A.; Allen, Robert J.; Mehrara, Babak J.; Dayan, Joseph H.

doi:10.1097/gox.0000000000002181

Cited by 6 publications

(3 citation statements)

References 48 publications

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“…32 Many authors point to the inability to draw firm conclusions from published data because of a lack of standardized outcomes. 5,14,15 Therefore, it is essential in this burgeoning frontier of microsurgical breast reconstruction 33 to incorporate the validated BREAST-Q Sensation Module into future studies, making comparisons between studies, techniques, and flaps possible.…”

Section: Discussionmentioning

confidence: 99%

Comparing Breast Sensation between Alloplastic and Autologous Breast Reconstruction Patients using the BREAST-Q Sensation Module

Voineskos

Olaiya

Tsangaris

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Sensory recovery of the breast is a compelling frontier in comprehensive postmastectomy breast reconstruction. This study uses the BREAST-Q Sensation Module to evaluate the differences in women who underwent an alloplastic versus autologous breast reconstruction. Methods: Women with a history of breast cancer and postmastectomy breast reconstruction were recruited through the Love Research Army, United States. Participants completed the BREAST-Q Sensation Module, which consists of three scales: Breast Symptoms, Breast Sensation, and Quality of Life Impact. Descriptive statistics and multiple linear regression analyses were used to compare outcomes between women undergoing alloplastic or autologous breast reconstruction. Results: Of 1204 respondents, 933 were included for analysis: 620 (66.5 percent) underwent alloplastic reconstruction and 313 (33.5 percent) underwent autologous reconstruction. The average age and body mass index were 59.2 ± 10.1 years and 26 ± 5 kg/m2, respectively. Autologous reconstruction patients scored an average of 6.1 points (95 percent CI, 3.9 to 8.4; p < 0.001) and 5.3 points (95 percent CI, 2.5 to 8.1; p = 0.001) higher on the Breast Symptoms and Quality of Life Impact scales, respectively. No difference (0.0 points, 95 percent CI, −2.9 to 3.0; p = 0.75) was observed for the Breast Sensation scale. Increased time since reconstruction had a positive impact on Breast Symptoms scale scores. Radiotherapy negatively affected scores on both Breast Symptoms and Quality of Life Impact scales. Conclusions: Autologous breast reconstruction may be associated with fewer abnormal breast sensations and better sensation-related quality of life in comparison to alloplastic reconstruction. This information can be incorporated during preoperative patient counseling when discussing reconstructive options.

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Section: Discussionmentioning

confidence: 99%

Comparing Breast Sensation between Alloplastic and Autologous Breast Reconstruction Patients using the BREAST-Q Sensation Module

Voineskos

Olaiya

Tsangaris

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…This flap can also be used as vascularized support for securing the inferior border of the pectoralis muscle, and as gliding tissue 34 to prevent mid-lower lines. Although several studies recommended prepectoral implant placement to avoid animation deformity, 1,4,5,13,[36][37][38] we could not apply it to our patients because of lower body mass index in our cohort (mean, 22 kg/m 2 ) than in the studies in the literature (>24 kg/m 2 ). 3,13,23,39 Therefore, in our clinical practice, the muscle-splitting or triple-plane technique is advisable.…”

Section: Discussionmentioning

confidence: 92%

“…Animation deformity is one of the long-term complications of implant-based breast operations, and is more common in breast reconstruction than in augmentation. [1][2][3][4][5] The current literature reports that animation deformity negatively affects postoperative satisfaction and quality of life in patients with breast reconstruction. 1,2,4,[6][7][8][9][10] To benefit breast cancer survivors, causes of animation deformity need to be clarified, and surgical procedures should be appropriately established for animation deformity prevention.…”

mentioning

confidence: 99%

“Animation Deformity: Evaluating the Role of Morpho-Topological Features in Suggesting Preventive Surgical Procedures.”

Onishi

Suzuki

Yamakawa

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Animation deformity is an undesirable complication after subpectoral implant reconstruction and is defined as skin distortion during activation of the pectoralis major muscle. However, detailed anatomical features of deformities have yet to be clarified. This study aimed to elucidate how (morphology) and where (topology) animation deformity occurs in reconstructed breasts, and to assess causes and prevention of animation deformity. Methods: This study included 100 consecutive patients with breast cancer, who underwent unilateral subpectoral implant reconstruction. Animation deformity was evaluated, and the patients were grouped according to both morphologic and topologic features. Univariate and multivariate analyses were performed to identify independent factors associated with deformities. Results: The patients were divided into three groups based on skin distortions with or without implant movement: group I, 60 patients with upper-medial dimpling; group II, 41 patients with upper-lateral folding; and group III, 52 patients with mid-lower lines. Overall, 86 patients (86 percent) showed one or more types of deformity. Among the patients with animation deformity, 24 (28 percent) had implant movement. The authors’ study identified axillary dissection as an independent factor for the upper-lateral folding group (OR, 0.30), implant volume for the mid-lower lines group (OR, 1.01), and age for implant movement (OR, 1.06). Conclusions: Animation deformity was commonly observed in the cohort of patients who underwent subpectoral implant reconstruction and exhibited three morphotopologic patterns of deformity. The current study demonstrated that the morphotopologic grouping of animation deformity may assist in suggesting possible causes and preventive surgical procedures for these deformities. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

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Diagonal upper gracilis (DUG) flap for autologous breast reconstruction: a case series

Colpaert¹,

Heeren²,

Papadopoulos³

et al. 2022

Eur J Plast Surg

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Frontiers in Oncologic Reconstruction

Cited by 6 publications

References 48 publications

Comparing Breast Sensation between Alloplastic and Autologous Breast Reconstruction Patients using the BREAST-Q Sensation Module

Comparing Breast Sensation between Alloplastic and Autologous Breast Reconstruction Patients using the BREAST-Q Sensation Module

“Animation Deformity: Evaluating the Role of Morpho-Topological Features in Suggesting Preventive Surgical Procedures.”

Diagonal upper gracilis (DUG) flap for autologous breast reconstruction: a case series

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