The Effect of Radiation on Complication Rates and Patient Satisfaction in Breast Reconstruction using Temporary Tissue Expanders and Permanent Implants

The Breast Journal
Christopher J AnkerJayant P Agarwal

Abstract

The optimal method of reconstruction following mastectomy for breast cancer patients receiving radiation therapy (RT) is controversial. This study evaluated patient satisfaction and complication rates among patients who received implant-based breast reconstruction. The specific treatment algorithm analyzed included patients receiving mastectomy and immediate temporary tissue expander (TE), followed by placement of a permanent breast implant (PI). If indicated, RT was delivered to the fully expanded TE. Records of 218 consecutive patients with 222 invasive (85%) or in situ (15%) breast lesions from the Salt Lake City region treated between 1998 and 2009 were retrospectively reviewed, 28% of whom received RT. Median RT dose was 50.4 Gy, and 41% received a scar boost at a median dose of 10 Gy. Kaplan-Meier analyses were performed to evaluate the cumulative incidence of surgical complications, including permanent PI removal. Risk factors associated with surgical events were analyzed. To evaluate cosmetic results and patient satisfaction, an anonymous survey was administered. Mean follow-up was 44 months (range 6-144). Actuarial 5-year PI removal rates for non-RT and RT patients were 4% and 22%, respectively. On multivariate analysi...Continue Reading

References

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Citations

Feb 3, 2016·Frontiers in Surgery·Daniel SchmaussYves Harder
Jan 12, 2016·Journal of Surgical Oncology·Bassim El-SabawiKetan M Patel
Sep 9, 2015·Journal of Surgical Oncology·Bassim El-SabawiKetan M Patel
Aug 27, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David E Rosow, Mohammad H Al-Bar
Feb 6, 2018·Journal of Clinical Nursing·Carmen Cereijo-GareaVanesa Balboa-Barreiro
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Kristina M CrawfordMatthew R Endara

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