A COMPARISON OF FACTORS AFFECTING AESTHETIC OUTCOMES OF TRAM FLAP BREAST RECONSTRUCTIONS

被引：109

作者：

KROLL, SS ^{[1
]}

COFFEY, JA ^{[1
]}

WINN, RJ ^{[1
]}

SCHUSTERMAN, MA ^{[1
]}

机构：

[1] UNIV TEXAS, MD ANDERSON CANCER CTR, COMMUNITY ONCOL PROGRAM, HOUSTON, TX 77030 USA

来源：

PLASTIC AND RECONSTRUCTIVE SURGERY | 1995年 / 96卷 / 04期

关键词：

D O I：

10.1097/00006534-199509001-00015

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The aesthetic results of TRAM flap breast reconstructions were assessed in 237 consecutive breast cancer patients. Nine independent judges, none of whom were plastic surgeons or members of the reconstructive team, assigned an aesthetic score to each patient after viewing postoperative photographs. We found that bilateral reconstructions were aesthetically superior to unilateral reconstructions (p = 0.0013), that immediate reconstructions were aesthetically superior to delayed reconstructions (p = 0.0001), and that previous irradiation of the chest wall reduced the mean aesthetic score (p = 0.0010). Mie also found that the mean aesthetic score assigned to patients who had reconstructions with free TRAM flaps was superior to that assigned to those who had reconstructions with conventional TRAM flaps, but when tested by multiple regression analysis, this trend was not statistically significant (p = 0.2972).

引用

页码：860 / 864

页数：5

共 15 条

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