Direct to Implant Breast Reconstruction With Prepectoral Micropolyurethane Foam-Coated Implant: Analysis of Patient Satisfaction |
| |
| Institution: | 1. Fondazione Policlinico Universitario A. Gemelli IRCSS, Dipartimento Scienze della Salute della Donna e del Bambino, Unità di Chirurgia Plastica, Largo Francesco Vito 1, 00168 Roma, Italy;2. Mater Olbia Hospital, Strada Statale 125 Orientale Sarda, 07026 Olbia (SS), Italy;3. New Cross Hospital, Royal Wolverhampton Trust, Wolverhampton, UK;1. Private Practice, Calle de Núñez de Balboa, 107, 28006, Madrid, Spain;2. Private Practice, Calle de Núñez de Balboa, 107, 28006; Madrid Spain. Department of Plastic Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain;1. University Hospital of Derby and Burton NHS Foundation Trust. Uttoxeter Road, Derby DE22 3NE, UK;2. United Lincolnshire Hospitals NHS Trust, Lincoln, Greetwell Rd, Lincoln LN2 5QY, UK;3. University of Wolverhampton, Walsall Campus, Gorway road, Walsall, West Midlands, WS1 3BD, UK;4. The London Breast Institute, The Princess Grace Hospital, 42-52 Nottingham Place, London, W1U 5NY, UK;1. Department of Plastic Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095 Jiefang Road, Wuhan, Hubei, China;2. Department of Radiology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095 Jiefang Road, Wuhan, Hubei, China |
| |
| Abstract: | BackgroundImmediate implant reconstruction after mastectomy with submuscular implant placement is widely used in order to avoid implant exposure, capsular contracture and poor aesthetic result. Postoperative complications can be reduced by maintain mastectomy flap thickness and asses flap vascularity with near infrared imaging. The prepectoral reconstruction with polyurethane implants has been utilized with encouraging results. Postoperative patient satisfaction was assessed with the BREAST-Q scores in patients who underwent prepectoral reconstruction with polyurethane implants. Additionally the impact of mastectomy flap thickness on breast reconstruction was investigated.Materials and MethodsThe Breast Q-scores of satisfaction with the breast, the postoperative outcome and physical well-being of the chest in 70 patients underwent immediate implant breast reconstructions with prepectoral polyurethane implant were retrospectively reviewed. The correlation between mastectomy flap thickness and satisfaction with breast was analyzed.ResultsAt 12-month follow-up the mean Q-score for satisfaction with breast was 71.73 (standard deviation: 13.31), and for physical well-being chest was 70.73 (standard deviation: 7.94). A positive linear correlation between mastectomy flap thickness and satisfaction with the breast was identified.ConclusionsThe postoperative Q-scores are encouraging in the use of polyurethane prepectoral implants in immediate breast reconstruction, especially in patients with “thick” mastectomy flaps. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
