Evaluation of Aesthetic and Quality-of-Life Results after Immediate Breast Reconstruction with Definitive Form-Stable Anatomical Implants

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dc.contributor.authorKuroda, Flavia
dc.contributor.authorUrban, Cicero
dc.contributor.authorZucca-Matthes, Gustavo
dc.contributor.authorOliveira, Vilmar Marques de
dc.contributor.authorArana, Gabriel Hubner
dc.contributor.authorIera, Marco
dc.contributor.authorRietjens, Mario
dc.contributor.authorSantos, Gabriela
dc.contributor.authorSpagnol, Caroline
dc.contributor.authorLima, Rubens Silveira de
dc.contributor.institutionPositivo Univ
dc.contributor.institutionHosp Nossa Senhora Gracas
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionSanta Casa Sao Paulo
dc.contributor.institutionEuropean Inst Oncol
dc.contributor.institutionUniv Fed Parana
dc.contributor.institutionHosp Regina
dc.date.accessioned2018-11-26T15:28:39Z
dc.date.available2018-11-26T15:28:39Z
dc.date.issued2016-02-01
dc.description.abstractBackground: Although there are many reports on different techniques in breast reconstruction, there are few data regarding immediate breast reconstruction with definitive form-stable anatomical implants in terms of aesthetics and quality-of-life outcomes. Methods: Ninety-four patients underwent mastectomy with immediate breast reconstruction using anatomical implants and contralateral symmetrization. Aesthetic results were evaluated by three different methods: the patient's self-report, the assessment of four independent specialists (two breast surgeons and two plastic surgeons from different institutions), and the BCCT.core software. Quality of life was evaluated by means of the BREAST-Q instrument. Results: Average age SD was 52.1 +/- 11.6 years. Most of patients had medium size breasts and T1 tumors. Patients had evaluated their aesthetic results better than did software and specialists. There was no significant difference in the comparison between software and specialist's evaluation. Multifactorial analysis showed that age older than 70 years and radiotherapy were significant risk factors for poor aesthetic outcomes after immediate breast reconstruction with implants. Considering quality of life, most of the patients were satisfied with their outcome and psychosocial and sexual well-being. Conclusion: Immediate breast reconstruction with implants and contralateral symmetrization had a positive impact on the quality of life and showed satisfactory outcomes when evaluated by subjective and objective methods.en
dc.description.affiliationPositivo Univ, Postgrad Biotechnol Program, Curitiba, Parana, Brazil
dc.description.affiliationHosp Nossa Senhora Gracas, Breast Unit, Oncoplast & Reconstruct Surg Div, Canoas, RS, Brazil
dc.description.affiliationUniv Estadual Paulista, Barretos Canc Hosp, Breast Unit, Rio Claro, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, Sch Med Botucatu, Rio Claro, SP, Brazil
dc.description.affiliationSanta Casa Sao Paulo, Breast Unit, Sao Paulo, Brazil
dc.description.affiliationEuropean Inst Oncol, Div Plast & Reconstruct Surg, Milan, Italy
dc.description.affiliationUniv Fed Parana, Tocogynecol Dept, BR-80060000 Curitiba, Parana, Brazil
dc.description.affiliationHosp Regina, Regina, SK, Canada
dc.description.affiliationPositivo Univ, Med School, Curitiba, Parana, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Barretos Canc Hosp, Breast Unit, Rio Claro, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Sch Med Botucatu, Rio Claro, SP, Brazil
dc.format.extent278E-286E
dc.identifierhttp://dx.doi.org/10.1097/01.prs.0000475746.17968.f4
dc.identifier.citationPlastic And Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 137, n. 2, p. 278E-286E, 2016.
dc.identifier.doi10.1097/01.prs.0000475746.17968.f4
dc.identifier.issn0032-1052
dc.identifier.urihttp://hdl.handle.net/11449/158690
dc.identifier.wosWOS:000369443700001
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofPlastic And Reconstructive Surgery
dc.relation.ispartofsjr1,731
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.titleEvaluation of Aesthetic and Quality-of-Life Results after Immediate Breast Reconstruction with Definitive Form-Stable Anatomical Implantsen
dc.typeArtigo
dcterms.rightsHolderLippincott Williams & Wilkins

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