Sensation of the autologous reconstructed breast improves quality of life
| Autor: | Shai M. Rozen, Sander M. J. van Kuijk, Aldona J. Spiegel, René R. W. J. van der Hulst, Esther M. Heuts, Anouk J. M. Cornelissen, Jop Beugels, Stefania Tuinder |
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| Přispěvatelé: | RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Plastische Chirurgie (PLC), Promovendi ODB, MUMC+: MA Plastische Chirurgie (9), RS: CAPHRI - R2 - Creating Value-Based Health Care, MUMC+: KIO Kemta (9), Surgery, MUMC+: MA Heelkunde (9), RS: CARIM other, RS: NUTRIM - R2 - Liver and digestive health, MUMC+: MA Plastische Chirurgie (3), MUMC+: MA AIOS Plastische Chirurgie (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty Neurotisation SURGERY Mammaplasty Sensation Breast Neoplasms Pilot Projects 030230 surgery PERFORATOR Surgical Flaps 03 medical and health sciences 0302 clinical medicine Breast cancer Quality of life DIEP flap Nerve coaptation Humans Medicine EPIDEMIOLOGY Breast reconstruction Breast skin and connective tissue diseases Aged business.industry PROPHYLACTIC MASTECTOMY Cancer WOMEN Retrospective cohort study Middle Aged medicine.disease Clinical Trial CANCER TRENDS Surgery medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis FREE TRAM FLAP Quality of Life Female NEUROTIZATION business SENSORY RECOVERY Sensory nerve |
| Zdroj: | Breast Cancer Research and Treatment, 167(3), 687-695. Springer, Cham Breast Cancer Research and Treatment |
| ISSN: | 0167-6806 |
| Popis: | Purpose The number of breast cancer survivors continues to grow. Due to refinements in operating techniques, autologous breast reconstruction has become part of standard care. Impaired sensation remains a debilitating side effect with a significant impact on the quality of life. Microsurgical nerve coaptation of a sensory nerve has the potential to improve sensation of the reconstructed breast. This study investigates the effect of improved sensation of the reconstructed breast on the quality of life in breast cancer survivors. Methods A retrospective cohort study was performed in the Maastricht University Medical Center. Patients undergoing a DIEP flap breast reconstruction between January 2015 and January 2016 were included. The primary outcome was quality of life (BREAST-Q domain ‘physical well-being of the chest’). The Semmes–Weinstein monofilaments were used for objective sensation measurement of the reconstructed breast(s). Results Eighteen patients with and 14 patients without nerve coaptation responded. Nipple reconstruction was the only characteristic that differed statistically significant between both groups (p = 0.04). The BREAST-Q score for the domain physical well-being of the chest was 77.89 ± 18.89 on average in patients with nerve coaptation and 66.21 ± 18.26 in patients without nerve coaptation (p = 0.09). Linear regression showed a statistically significant relation between objectively measured sensation and BREAST-Q score for the domain physical well-being of the chest with a regression coefficient of − 13.17 ± 3.61 (p |
| Databáze: | OpenAIRE |
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