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Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis

(1) Background: This work aimed to conduct a comparative study, providing long-term data about patient-reported outcome measures and donor site scar assessments, as well as an aesthetic evaluation of the reconstructed breasts in patients with DIEP versus PAP flap breast reconstruction. (2) Methods:...

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Autores principales: Augustin, Angela, Morandi, Evi M., Winkelmann, Selina, Schoberleitner, Ines, Egle, Daniel, Ritter, Magdalena, Bauer, Thomas, Wachter, Tanja, Wolfram, Dolores
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917944/
https://www.ncbi.nlm.nih.gov/pubmed/36769386
http://dx.doi.org/10.3390/jcm12030737
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author Augustin, Angela
Morandi, Evi M.
Winkelmann, Selina
Schoberleitner, Ines
Egle, Daniel
Ritter, Magdalena
Bauer, Thomas
Wachter, Tanja
Wolfram, Dolores
author_facet Augustin, Angela
Morandi, Evi M.
Winkelmann, Selina
Schoberleitner, Ines
Egle, Daniel
Ritter, Magdalena
Bauer, Thomas
Wachter, Tanja
Wolfram, Dolores
author_sort Augustin, Angela
collection PubMed
description (1) Background: This work aimed to conduct a comparative study, providing long-term data about patient-reported outcome measures and donor site scar assessments, as well as an aesthetic evaluation of the reconstructed breasts in patients with DIEP versus PAP flap breast reconstruction. (2) Methods: This prospective, single-center, matched cohort study included a total of 36 patients after DIEP and PAP flap breast reconstruction. The evaluation was carried out using the Breast-Q and POSAS questionnaire, as well as the Breast Aesthetic Scale for cosmetic analysis, by four plastic surgeons. (3) Results: The postoperative Breast-Q evaluation revealed no significant differences between both patient groups for the categories of the physical well-being of the donor site, the physical well-being of the breast, and satisfaction with the breast. A scar evaluation of the donor site region showed equivalent results for the thigh and abdomen regions, concerning the overall opinion of the patients and the observers. There was no significant difference between both methods of reconstruction for all aspects of breast aesthetics. (4) Conclusions: Similar results for donor site morbidity, scar quality, and the aesthetic outcome of the breasts in both the DIEP and PAP patient groups have been demonstrated. Hence, in those cases suitable for both types of reconstruction, the decision can be based on factors such as patients’ lifestyles, leisure activities, and preferences.
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spelling pubmed-99179442023-02-11 Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis Augustin, Angela Morandi, Evi M. Winkelmann, Selina Schoberleitner, Ines Egle, Daniel Ritter, Magdalena Bauer, Thomas Wachter, Tanja Wolfram, Dolores J Clin Med Article (1) Background: This work aimed to conduct a comparative study, providing long-term data about patient-reported outcome measures and donor site scar assessments, as well as an aesthetic evaluation of the reconstructed breasts in patients with DIEP versus PAP flap breast reconstruction. (2) Methods: This prospective, single-center, matched cohort study included a total of 36 patients after DIEP and PAP flap breast reconstruction. The evaluation was carried out using the Breast-Q and POSAS questionnaire, as well as the Breast Aesthetic Scale for cosmetic analysis, by four plastic surgeons. (3) Results: The postoperative Breast-Q evaluation revealed no significant differences between both patient groups for the categories of the physical well-being of the donor site, the physical well-being of the breast, and satisfaction with the breast. A scar evaluation of the donor site region showed equivalent results for the thigh and abdomen regions, concerning the overall opinion of the patients and the observers. There was no significant difference between both methods of reconstruction for all aspects of breast aesthetics. (4) Conclusions: Similar results for donor site morbidity, scar quality, and the aesthetic outcome of the breasts in both the DIEP and PAP patient groups have been demonstrated. Hence, in those cases suitable for both types of reconstruction, the decision can be based on factors such as patients’ lifestyles, leisure activities, and preferences. MDPI 2023-01-17 /pmc/articles/PMC9917944/ /pubmed/36769386 http://dx.doi.org/10.3390/jcm12030737 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Augustin, Angela
Morandi, Evi M.
Winkelmann, Selina
Schoberleitner, Ines
Egle, Daniel
Ritter, Magdalena
Bauer, Thomas
Wachter, Tanja
Wolfram, Dolores
Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis
title Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis
title_full Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis
title_fullStr Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis
title_full_unstemmed Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis
title_short Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis
title_sort long-term results after autologous breast reconstruction with diep versus pap flaps based on quality of life and aesthetic outcome analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917944/
https://www.ncbi.nlm.nih.gov/pubmed/36769386
http://dx.doi.org/10.3390/jcm12030737
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