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Outcomes of Fat-Augmented Latissimus Dorsi (FALD) Flap Versus Implant-Based Latissimus Dorsi Flap for Delayed Post-radiation Breast Reconstruction.

ΤίτλοςOutcomes of Fat-Augmented Latissimus Dorsi (FALD) Flap Versus Implant-Based Latissimus Dorsi Flap for Delayed Post-radiation Breast Reconstruction.
Publication TypeJournal Article
Year of Publication2018
AuthorsDemiri, E. C., Dionyssiou D. D., Tsimponis A., Goula C-O., Pavlidis L. C., & Spyropoulou G-A.
JournalAesthetic Plast Surg
Volume42
Issue3
Pagination692-701
Date Published2018 Jun
ISSN1432-5241
Λέξεις κλειδιάAdipose Tissue, Adult, Aged, Breast Neoplasms, Chi-Square Distribution, Cohort Studies, Databases, Factual, Esthetics, Female, Follow-Up Studies, Free Tissue Flaps, Graft Survival, Humans, Mammaplasty, Mastectomy, Middle Aged, Postoperative Complications, Reoperation, Retrospective Studies, Risk Assessment, Statistics, Nonparametric, Superficial Back Muscles, Time Factors, Time-to-Treatment, Transplantation, Autologous, Treatment Outcome
Abstract

BACKGROUND: Although free abdominal flaps constitute the gold standard in post-radiation delayed breast reconstruction, latissimus dorsi-based methods offer alternative reconstructive options. This retrospective study aims to compare outcomes of delayed breast reconstruction using the fat-augmented latissimus dorsi (FALD) autologous reconstruction and the latissimus dorsi-plus-implant reconstruction in irradiated women.METHODS: We reviewed the files of 47 post-mastectomy irradiated patients (aged 29-73 years), who underwent delayed latissimus dorsi-based breast reconstruction between 2010 and 2016. Twenty-three patients (Group A) had an extended FALD flap and twenty-four patients (Group B) an implant-based latissimus dorsi reconstruction. Patients' age, BMI, pregnancies, volume of injected fat, implant size, postoperative complications, and secondary surgical procedures were recorded and analyzed.RESULTS: Age, BMI, pregnancies, and donor-site complications were similar in both groups (p > 0.05). Mean fat volume injected initially was 254 cc (ranged 130-380 cc/session); mean implant volume was 323 cc (ranged 225-420 cc). Breast complications were significantly fewer in Group A (one wound dehiscence, two oily cysts) compared to Group B (three cases with wound dehiscence, two extrusions, thirteen severe capsular contractions). Non-statistically significant difference was documented for secondary procedures between groups; although the mean number of additional surgeries/patient was higher in Group A, they referred to secondary lipofilling, whereas in Group B they were revision surgeries for complications.CONCLUSIONS: The FALD flap constitutes an alternative method for delayed autologous reconstruction after post-mastectomy irradiation, avoiding implant-related complications. Although additional fat graft sessions might be required, it provides an ideal autogenous reconstructive option for thin nulliparous women, with a small opposite breast and adequate fat donor sites.LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

DOI10.1007/s00266-018-1081-6
Alternate JournalAesthetic Plast Surg
PubMed ID29372268

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