| Autor: |
Giacalone, Pierre-Ludovic, Bricout, Nathalie, Dantas, Marie-Josée, Daurés, Jean-Pierre, Laffargue, Francois |
| Zdroj: |
Aesthetic Plastic Surgery; 20020701, Vol. 26 Issue: 4 p299-302, 4p |
| Abstrakt: |
Breast symmetry is one of the most important parameters of patient satisfaction in breast reconstruction. We undertook this retrospective study to determine whether autologous reconstruction requires opposite-breast procedures less often to achieve symmetry than do non-autologous techniques. The records of 683 patients who underwent delayed breast reconstruction between March 1983 and March 2000 were reviewed. Two hundred and twelve patients (31%) received a TRAM flap, 167 (24%) received a latissimus dorsi myocutaneous flap plus implant (LD), and 304 patients (45%) underwent saline-filled implant (I) reconstruction. The type of opposite surgery was analyzed and compared among groups. An inverted-T breast reduction or mastopexy was performed with equal frequency in the three groups (respectively, 33.5%, 37.8%, and 27.6%). Mastopexy using a circumareolar technique was less frequently performed in the TRAM group (1.9%) than in the other two groups (5.3% and 8.2%, respectively; p = 0.012). Breast augmentation was essentially performed in the LD (30.5%) and I (21.7%) groups, and the difference was statistically significant (p = 0.03). Only one patient of the TRAM group underwent augmentation mammaplasty. The total prevalence of opposite breast procedures was different between the TRAM group (35.5%) and the other two groups (67% in the LD group and 54.6% in the I group; p = 0.001). Our study clearly demonstrates that TRAM flap breast reconstruction more frequently matches the opposite breast, thus avoiding additional surgery to achieve symmetry, in comparison with implant-based techniques. |
| Databáze: |
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