TY - JOUR
T1 - The superiorly based partial rectus abdominis and external oblique flap for lower pole coverage in prosthetic breast reconstruction
T2 - A prospective cohort study of 47 consecutive flaps
AU - Lam, Quoc
AU - Nowicki, Jake
AU - Crittenden, Tamara
AU - Howes, Benjamin H.L.
AU - Dean, Nicola R.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Background: This study evaluated health related quality of life and morbidity in patients who had a superiorly based partial rectus abdominis and external oblique (SPREO) flap for lower pole coverage as a component of 2-stage prosthetic breast reconstruction. Methods: A prospective cohort study of patients undergoing immediate and delayed 2-stage breast reconstruction including a SPREO flap for lower pole coverage was conducted. The BREAST-Q and a study-specific questionnaire were used to determine outcomes after this procedure. BREAST-Q questionnaires were completed preoperatively and postoperatively and compared with normative values. Results: BREAST-Q questionnaires were completed by 27 women. The mean patient agewas 54.3 ± 9.6 years.Mean BREAST-Qscores improved significantly between preoperative and postoperative time points in Satisfaction with Breasts (preoperative 43.2 ± 26.9, postoperative 66.2 ± 19.5, P = 0.001) and Psychosocial Wellbeing (preoperative 59.4 ± 16.4 postoperative 75.5 ± 19.4, P = 0.002).Mean scores were not significantly different in the domains Physical Wellbeing Chest, Physical Wellbeing Abdomen and Sexual Wellbeing. Postoperative BREAST-Q scores were significantly higher (P < 0.05) than previously published normative scores in Satisfaction with Breasts. Conclusions: This study reports the use of the SPREO flap for lower pole coverage in 2-stage prosthetic breast reconstruction and demonstrates that it may be a useful addition to the existing repertoire of flaps used in breast reconstruction.
AB - Background: This study evaluated health related quality of life and morbidity in patients who had a superiorly based partial rectus abdominis and external oblique (SPREO) flap for lower pole coverage as a component of 2-stage prosthetic breast reconstruction. Methods: A prospective cohort study of patients undergoing immediate and delayed 2-stage breast reconstruction including a SPREO flap for lower pole coverage was conducted. The BREAST-Q and a study-specific questionnaire were used to determine outcomes after this procedure. BREAST-Q questionnaires were completed preoperatively and postoperatively and compared with normative values. Results: BREAST-Q questionnaires were completed by 27 women. The mean patient agewas 54.3 ± 9.6 years.Mean BREAST-Qscores improved significantly between preoperative and postoperative time points in Satisfaction with Breasts (preoperative 43.2 ± 26.9, postoperative 66.2 ± 19.5, P = 0.001) and Psychosocial Wellbeing (preoperative 59.4 ± 16.4 postoperative 75.5 ± 19.4, P = 0.002).Mean scores were not significantly different in the domains Physical Wellbeing Chest, Physical Wellbeing Abdomen and Sexual Wellbeing. Postoperative BREAST-Q scores were significantly higher (P < 0.05) than previously published normative scores in Satisfaction with Breasts. Conclusions: This study reports the use of the SPREO flap for lower pole coverage in 2-stage prosthetic breast reconstruction and demonstrates that it may be a useful addition to the existing repertoire of flaps used in breast reconstruction.
KW - Breast cancer
KW - Breast reconstruction
KW - External oblique flap
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85092750089&partnerID=8YFLogxK
U2 - 10.1097/SAP.0000000000002296
DO - 10.1097/SAP.0000000000002296
M3 - Article
C2 - 32102000
AN - SCOPUS:85092750089
SN - 0148-7043
VL - 85
SP - 481
EP - 487
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 5
ER -