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Objective photographic assessments and comparisons of immediate bilateral breast reconstruction using deep inferior epigastric perforator flaps and implants

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Abstract
Background The increasing number of bilateral breast cancer patients has been accompanied by a growing need for bilateral mastectomy with immediate reconstruction. However, little research has investigated the complications and aesthetic outcomes related to bilateral reconstruction. Therefore, we analyzed retrospective data comparing the outcomes of bilateral reconstruction using deep inferior epigastric perforator (DIEP) flaps or implants.Methods This study included 52 patients (24 DIEP group and 28 implant group) who underwent bilateral mastectomy with immediate reconstruction between 2010 and 2020. Patient demographics, surgical characteristics, and complications were recorded. The difference between the left and right position of the nipple-areolar complex with respect to the sternal notch point at the clavicle was measured, and breast symmetry was evaluated.Results The average weight of breasts reconstructed with DIEP flaps (417.43±152.50 g) was higher than that of breasts with implants. The hospitalization period and operation time were significantly longer in the DIEP group. Early complications were significantly more common in the implant group (36.53%) than in the DIEP group. The angles between the nipples and the horizontal line were 1.09°±0.71° and 1.75°±1.45° in the DIEP and implant groups, respectively.Conclusions Although the surgical burden is lower, breast reconstruction using implants requires greater attention with respect to implant positioning, asymmetry, and complications than DIEP flap reconstruction. DIEP flap reconstruction has a prolonged operation time and a high risk of flap failure, but yields excellent cosmetic results and does not require intensive follow-up. Patients should be consulted to determine the most suitable option for them.
Author(s)
엄진섭최진미한현호
Issued Date
2021
Type
Article
Keyword
breast implantsbreast neoplasmsbreast reconstructionfree tissue flapperforator flaps성형외과학
DOI
10.5999/aps.2020.02362
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7571
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9861609&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Objective%20photographic%20assessments%20and%20comparisons%20of%20immediate%20bilateral%20breast%20reconstruction%20using%20deep%20inferior%20epigastric%20perforator%20flaps%20and%20implants&offset=0&pcAvailability=true
Publisher
Archives of Plastic Surgery
Location
대한민국
Language
영어
ISSN
2234-6163
Citation Volume
48
Citation Number
5
Citation Start Page
473
Citation End Page
482
Appears in Collections:
Medicine > Medicine
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