Impact of Contralateral Symmetry Procedures on Long-Term Patient-Reported Outcomes following Unilateral Prosthetic Breast Reconstruction

Panchal, Hemang B.; Albornoz, Claudia R.; Pusic, Andrea L.; McCarthy, Colleen; Cordeiro, Peter G.; Disa, Joseph J.; Mehrara, Babak J.; Matros, Evan

doi:10.1055/s-0038-1667365

Cited by 16 publications

(12 citation statements)

References 12 publications

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“…This might be since an implant-based reconstructed breast is unable to undergo ptosis to match the contralateral breast. This fact has been investigated in a different study comparing PRO of patient who underwent contralateral augmentation to those who had no symmetry procedure [29]. Patients with contralateral augmentation had significantly higher scores for "satisfaction with breast" and "satisfaction with outcome".…”

Section: Discussionmentioning

confidence: 99%

Patient reported outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): A prospective clinical study in 269 patients

Thill

Faridi

Meiré

et al. 2020

European Journal of Surgical Oncology

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Introduction: Implant-based or expander-supported breast reconstruction is an established surgical method after mastectomies due to cancer or to prophylactic reasons. Patient reported outcome (PRO) and cosmetic outcome after breast reconstruction with a synthetic surgical mesh was investigated in a prospective, single-arm, multi-center study. Material and methods: Primary or secondary implant-based breast reconstruction with support of TiLOOP® Bra was performed in 269 patients during the PRO-BRA study. PRO 12 months after breast reconstruction was evaluated using Breast-Q questionnaire. Cosmetic outcome was evaluated by two independent experts by means of pictures taken preoperatively and at the follow-up visits. Results: Breast-Q and 12 months FU were completed by 210 women. Patients without adverse event had a significantly higher Breast-Q score for "sexual well-being" (p ¼ 0.001); "psychosocial well-being" was negatively influenced by prior therapies (p < 0.01), and older patients had significantly lower scores at 12 months FU compared to pre-OP for "satisfaction with breasts" (p < 0.01) while the opposite was true for younger patients. Unilateral surgery resulted in reduced "satisfaction with breast" at 12 months FU (p < 0.01). Radiotherapy negatively influenced "satisfaction with breast", "sexual well-being" and "physical well-being chest". The cosmetic evaluation showed a significant difference (p < 0.001) in the evaluation by the patients and experts with the patients' assessment being worse compared to experts' assessment. Conclusion:Our study showed that two years after implant-based breast reconstruction with support of TiLOOP® Bra PRO is influenced by different factors. This information can be used to improve the decision-making process for women who chose implant-based breast reconstruction.

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Section: Discussionmentioning

confidence: 99%

Patient reported outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): A prospective clinical study in 269 patients

Thill

Faridi

Meiré

et al. 2020

European Journal of Surgical Oncology

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show abstract

“…The mean values and SD for the UICC subgroups is given pre-OP and at 12mFU. underwent contralateral augmentation to those who had no symmetry procedure [29]. Patients with contralateral augmentation had significantly higher scores for "satisfaction with breast" and "satisfaction with outcome".…”

Section: Discussionmentioning

confidence: 99%

Patient Reported Outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): a prospective clinical study in 269 patients

Paepke

Klein

Faridi

et al. 2020

Senologie - Zeitschrift Für Mammadiagnostik Und -Therapie

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Introduction: Implant-based or expander-supported breast reconstruction is an established surgical method after mastectomies due to cancer or to prophylactic reasons. Patient reported outcome (PRO) and cosmetic outcome after breast reconstruction with a synthetic surgical mesh was investigated in a prospective, single-arm, multi-center study. Material and methods: Primary or secondary implant-based breast reconstruction with support of TiLOOP® Bra was performed in 269 patients during the PRO-BRA study. PRO 12 months after breast reconstruction was evaluated using Breast-Q questionnaire. Cosmetic outcome was evaluated by two independent experts by means of pictures taken preoperatively and at the follow-up visits. Results: Breast-Q and 12 months FU were completed by 210 women. Patients without adverse event had a significantly higher Breast-Q score for "sexual well-being" (p ¼ 0.001); "psychosocial well-being" was negatively influenced by prior therapies (p < 0.01), and older patients had significantly lower scores at 12 months FU compared to pre-OP for "satisfaction with breasts" (p < 0.01) while the opposite was true for younger patients. Unilateral surgery resulted in reduced "satisfaction with breast" at 12 months FU (p < 0.01). Radiotherapy negatively influenced "satisfaction with breast", "sexual well-being" and "physical well-being chest". The cosmetic evaluation showed a significant difference (p < 0.001) in the evaluation by the patients and experts with the patients' assessment being worse compared to experts' assessment. Conclusion: Our study showed that two years after implant-based breast reconstruction with support of TiLOOP® Bra PRO is influenced by different factors. This information can be used to improve the decision-making process for women who chose implant-based breast reconstruction.

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“…Symmetrisation surgery is not usually required after local flap reconstruction, 16 as the excised breast volume is replaced. This is a potential advantage over mastectomy and reconstruction, where symmetrising procedures are commonly required, 28,29 with reported contralateral surgery rates up to 77% in 2-stage implant reconstructions. 30 In our study, one patient underwent a symmetrising procedure.…”

Section: Discussionmentioning

confidence: 99%

Six-year experience of oncoplastic volume replacement using local perforator flaps

Quinn

Burrah

O’Ceallaigh

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Impact of Contralateral Symmetry Procedures on Long-Term Patient-Reported Outcomes following Unilateral Prosthetic Breast Reconstruction

Cited by 16 publications

References 12 publications

Patient reported outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): A prospective clinical study in 269 patients

Patient reported outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): A prospective clinical study in 269 patients

Patient Reported Outcome and cosmetic evaluation following implant-based breast-reconstruction with a titanized polypropylene mesh (TiLOOP® Bra): a prospective clinical study in 269 patients

Six-year experience of oncoplastic volume replacement using local perforator flaps

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