Hutchinson Lauren E, Castaldo Andrea D, Malone Cedar H, Sommer Nicole Z, Amalfi Ashley N
Southern Illinois University School of Medicine, Springfield, IL, USA.
Aesthet Surg J Open Forum. 2021 Jan 25;3(1):ojab005. doi: 10.1093/asjof/ojab005. eCollection 2021 Jan.
Traditional methods of breast implant size selection provide limited ability to demonstrate postoperative outcomes. Three-dimensional (3D) imaging provides an opportunity for improved patient evaluation, surgical planning, and evaluation of postoperative breast appearance.
The authors hypothesized that preoperative 3D imaging for patients undergoing breast augmentation would improve patient satisfaction and understanding of expected surgical outcomes.
A retrospective review of patients undergoing breast augmentation by a single surgeon over a 3.5-year period was performed. Patients presenting after the VECTRA was purchased had preoperative 3D imaging, while patients presenting before this did not. Eligible patients received a BREAST-Q questionnaire designed for postoperative evaluation of breast augmentation. They also received a second survey that evaluated expected vs actual breast outcomes.
In total, 120 surveys were mailed and 61 patients (50.8%) returned the survey. The 3D imaged group had improved BREAST-Q scores regarding satisfaction with outcome, surgeon, and physical well-being compared with the group that did not. The imaged group also had higher size, shape, and overall breast correlation scores, confidence in implant size selection scores, and communication with surgeon scores. The differences between the 2 groups were not statistically significant.
Three-dimensional imaging is a valuable tool in breast surgery. Although this study showed improvement in patient satisfaction and predicted outcome scores in the 3D imaged group, the results were not statistically significant. With the majority of patients reporting that they would choose 3D imaging, it appears to instill confidence in patients regarding both surgeon and implant selection.
传统的乳房植入物尺寸选择方法在展示术后效果方面能力有限。三维（3D）成像为改善患者评估、手术规划以及术后乳房外观评估提供了契机。
作者推测，对于接受隆胸手术的患者，术前3D成像将提高患者满意度，并增进其对预期手术效果的理解。
对一位外科医生在3.5年期间进行的隆胸手术患者进行回顾性研究。购买VECTRA之后前来就诊的患者接受了术前3D成像，而在此之前前来就诊的患者则未接受。符合条件的患者收到了一份用于隆胸术后评估的BREAST-Q问卷。他们还收到了另一份评估预期与实际乳房效果的调查问卷。
总共邮寄了120份调查问卷，61名患者（50.8%）回复了问卷。与未进行3D成像的组相比，进行3D成像的组在对手术效果、外科医生和身体健康的满意度方面，BREAST-Q评分有所提高。成像组在尺寸、形状和整体乳房相关性评分、对植入物尺寸选择的信心评分以及与外科医生的沟通评分方面也更高。两组之间的差异无统计学意义。
三维成像在乳房手术中是一种有价值的工具。尽管本研究显示3D成像组患者满意度和预测效果评分有所提高，但结果无统计学意义。大多数患者表示他们会选择3D成像，这似乎让患者在外科医生和植入物选择方面都更有信心。
