Patients with abdominal-based free flap breast reconstruction a decade after surgery: A comprehensive long-term follow-up study

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Tianyi LiuMaria Mani

Abstract

Abdominal-based free flap has increasingly become the gold standard for breast reconstruction, however long-term evidence of the aesthetic outcome and quality of life is lacking. The present study aims to gain an overview of patients with abdominal-based free flap breast reconstructions in a long-term perspective. Seventy-five patients who received abdominal-based free flap breast reconstructions between 2000-2007 in Uppsala, Sweden were invited back for photographs, 3D imaging and questionnaires. A retrospective chart review was conducted. Patient satisfaction with appearance and quality of life were assessed using the Breast-Q questionnaire. A layman panel and a professional panel rated the aesthetic appearance of the reconstructed breast from photographs and 3D images. Fifty-five patients participated with a mean age of 52 ± 8 years at the time of reconstruction and a mean follow-up time of 11.4 ± 1.8 years completed the study. The majority of the patients had received unilateral (85%), delayed reconstructions (73%) with prior radiation (55%). There were 53 patients with DIEP flaps, one with free TRAM flap and one with SIEA flap. Breast-Q scores in the cohort were comparable to normative values of women without breast cancer...Continue Reading

Citations

Sep 19, 2019·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Leonard WalleOnno Frerichs
Feb 26, 2020·Plastic and Reconstructive Surgery. Global Open·Johan ZöttermanErik Tesselaar
Apr 2, 2021·Journal of Reconstructive Microsurgery·Christine VelazquezIvo A Pestana

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