Visual Perception of Breast Free Flap Size Is Influenced by Radiation Changes of Surrounding Tissue
| Autor: | Yi-Hsueh Lu, Fei Wang, Evan Rothchild, Nicolas Greige, Karan Mehta, Katie E. Weichman, Joseph A. Ricci |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of Reconstructive Microsurgery. |
| ISSN: | 1098-8947 0743-684X |
| Popis: | Background Microsurgical reconstruction for bilateral mastectomy defects after unilateral radiation often results in asymmetry, despite both flap tissues never being radiated. Methods Photos of 16 patients who received prior radiation to one breast and underwent bilateral abdominal free flap reconstruction were taken postoperatively. Layperson and expert assessment were attained via online crowdsourcing and a panel of attending surgeons and senior residents. Stratification by interflap weight differences was done for subanalysis. Results A total of 399 laypersons responded, with the majority (57.3%) reporting that the radiated breast appeared smaller than the nonradiated breast. When the photos were stratified by interflap weight differences, the photos with the radiated side flap weight over 3% more than nonradiated side were significantly more likely to be perceived by laypersons as the same size (odds ratio [OR] = 2.7; p Conclusion Higher aesthetic scores were noted when larger flaps were inset to the radiated envelope by both laypersons and experts, suggesting potential technical refinement in reconstructive outcomes. |
| Databáze: | OpenAIRE |
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