지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 264 - 270 (7page)
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초록· 키워드
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Background The technique of delayed-immediate breast reconstruction includes immediate insertion of a tissue expander, post-mastectomy radiation, followed by reconstruction. The aesthetic benefits of delayed-immediate reconstruction compared to delayed reconstruction are postulated but remain unproven. The purpose of this study was to compare aesthetic outcomes in patients following delayed and delayed-immediate autologous breast reconstruction. Methods A retrospective analysis was performed of all patients who underwent delayed or delayed-immediate autologous breast reconstruction by the senior author from 2005 to 2011. Postoperative photographs were used to evaluate aesthetic outcomes: skin quality, scar formation, superior pole contour, inferior pole contour, and overall aesthetic outcome. Ten non-biased reviewers assessed outcomes using a 5-point Likert scale. Fisher's Exact and Wilcoxon-Mann-Whitney tests were used for comparative analysis. Results Patient age and body mass index were similar between delayed (n=20) and delayed-immediate (n=20) cohorts (P>0.05). Skin and scar quality was rated significantly higher in the delayed-immediate cohort (3.74 vs. 3.05, P<0.001 and 3.41 vs. 2.79, P<0.001; respectively). Assessment of contour-related parameters, superior pole and inferior pole, found significantly improved outcomes in the delayed-immediate cohort (3.67 vs. 2.96, P<0.001 and 3.84 vs. 3.06, P<0.001; respectively). Delayed-immediate breast reconstruction had a significantly higher overall score compared to delayed breast reconstructions (3.84 vs. 2.94, P<0.001). Smoking and the time interval from radiation to reconstruction were found to affect aesthetic outcomes (P<0.05). Conclusions Preservation of native mastectomy skin may allow for improved skin/scar quality, breast contour, and overall aesthetic outcomes following a delayed-immediate reconstructive algorithm as compared to delayed breast reconstruction.
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참고문헌 (21)
참고문헌 신청
Fisher B / 2002 / Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpec-tomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer / N Engl J Med 347:1233~1241
Fisher B / 1998 / Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from National Surgical Adjuvant Breast and Bowel Project B-17 / J Clin Oncol 16:441~452
Kronowitz SJ / 2012 / Current status of autologous tissue-based breast reconstruction in patients receiving postmastectomy radiation therapy / Plast Reconstr Surg 130:282~292
Albino FP / 2010 / Irradiated autologous breast reconstructions: effects of patient factors and treat-ment variables / Plast Reconstr Surg 126:12~16
Jhaveri JD / 2008 / Clinical outcomes of postmastectomy radiation therapy after immediate breast reconstruction / Int J Radiat Oncol Biol Phys 72:859~865
Fisher B / 1998 / Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from National Surgical Adjuvant Breast and Bowel Project B-17 / J Clin Oncol 16:441~452
Kronowitz SJ / 2012 / Current status of autologous tissue-based breast reconstruction in patients receiving postmastectomy radiation therapy / Plast Reconstr Surg 130:282~292
Albino FP / 2010 / Irradiated autologous breast reconstructions: effects of patient factors and treat-ment variables / Plast Reconstr Surg 126:12~16
Jhaveri JD / 2008 / Clinical outcomes of postmastectomy radiation therapy after immediate breast reconstruction / Int J Radiat Oncol Biol Phys 72:859~865
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