Aesthetic results and patient satisfaction with immediate breast reconstruction using tissue expansion: A follow-up study

被引:82
作者
Ramon, Y
Ullmann, Y
Moscona, R
Ofiram, E
Tamir, A
HarShai, Y
Toledano, H
Barzilai, A
机构
[1] RAMBAM MED CTR,DEPT GEN SURG,HAIFA,ISRAEL
[2] TECHNION ISRAEL INST TECHNOL,FAC MED,DEPT COMMUNITY MED & EPIDEMIOL,IL-32000 HAIFA,ISRAEL
关键词
D O I
10.1097/00006534-199703000-00013
中图分类号
R61 [外科手术学];
学科分类号
摘要
Immediate breast reconstruction with the tissue expander is now established as an accepted procedure after mastectomy, and large series have been published concerning the technique and its complications. Unfortunately, only scarce information is available regarding the long-term aesthetic results and patient satisfaction achieved by immediate reconstruction using tissue expansion. In this study, we reviewed 52 patients who had undergone immediate breast reconstruction using the tissue expander with a follow-up of at least 1 year after completion of the reconstruction. We developed an objective assessment of patient satisfaction, aesthetic results, and the factors affecting them. The results show remarkable concordance of assessment by patient, surgeon, and independent observer: All gave good scores for aesthetic appearance (6.4 to 7.4 on a scale of 1 to 10). A total of 92.3 percent of patients rated their satisfaction as good to excellent. Symmetry was the main parameter influencing the patients' score, while the surgeon's score also was affected by the quality of the inframammary fold and capsular contracture. Breast size, chemotherapy, complications, time interval, and additional procedures had no relation to either scoring or patient satisfaction.
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页码:686 / 691
页数:6
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