Quality of life and shoulder function after latissimus dorsi breast reconstruction
| Autor: | Eugene Koh, David I. Watson, Nicola R. Dean |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Mammaplasty Breast Neoplasms 030230 surgery 03 medical and health sciences 0302 clinical medicine Quality of life medicine Shoulder function Humans Postoperative Period Latissimus dorsi flap Range of Motion Articular Total Mastectomy Mastectomy Aged Retrospective Studies Aged 80 and over business.industry Shoulder Joint Significant difference Middle Aged musculoskeletal system Surgery body regions Cross-Sectional Studies Treatment Outcome 030220 oncology & carcinogenesis Quality of Life Superficial Back Muscles Female business Breast reconstruction Follow-Up Studies |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 71(9) |
| ISSN: | 1878-0539 |
| Popis: | Summary Background Breast reconstruction using a latissimus dorsi flap impacts one of the principal muscles of the shoulder. There is therefore concern that this procedure could impair shoulder function. The primary objective of this study was to study the effect of breast reconstruction using the latissimus dorsi flap on patient reported shoulder function and quality of life, compared to women who underwent total mastectomy without reconstruction. Methods A case-controlled cross-sectional study was conducted using the validated Breast-Q questionnaire and a functional back and shoulder questionnaire. Questionnaires were mailed to women who had undergone latissimus dorsi flap breast reconstruction (n = 100) and women who had undergone total mastectomy without reconstruction (n = 121). The responses from the 2 groups were compared, and results were analysed with t-test and Pearson's Correlation. Results Responses were received from 119 patients (60 latissimus dorsi patients and 59 mastectomy alone patients). Latissimus dorsi flap patients had significantly higher Breast-Q scores for all quality of life domains when compared to mastectomy alone patients. There was, however, no significant difference in functional back and shoulder scores between the two groups. Latissimus dorsi flap patients also scored highly for satisfaction with outcome and satisfaction for the ‘back’. Conclusion Patients report high levels of satisfaction following Latissimus dorsi flap breast reconstruction. This type of reconstruction did not adversely impact back and shoulder function. |
| Databáze: | OpenAIRE |
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