Retchkiman Meir, Elkhatib Arij, Efanov Johnny I, Gagnon Alain, Bou-Merhi Joseph, Danino Michel Alain, Bernier Christina
Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada.
Plast Reconstr Surg Glob Open. 2023 Feb 22;11(2):e4814. doi: 10.1097/GOX.0000000000004814. eCollection 2023 Feb.
Breast reconstruction after mastectomy improves patient quality of life. Independently of the type of reconstruction, ancillary procedures are sometimes necessary to improve results. Fat grafting to the breast is a safe procedure with excellent results. We report patient-reported outcomes using the BREAST-Q questionnaire after autologous fat grafting in different types of reconstructed breasts.
We performed a single-center, prospective, comparative study that compared patient-reported outcomes using the BREAST-Q in patients after different types of breast reconstruction (autologous, alloplastic, or after breast conserving) who subsequently had fat grafting.
In total, 254 patients were eligible for the study, but only 54 (68 breasts) completed all the stages needed for inclusion. Patient demographic and breast characteristics are described. Median age was 52 years. The mean body mass index was 26.1 ± 3.9. The mean postoperative period at the administration of BREAST-Q questionnaires was 17.6 months. The mean preoperative BREAST-Q was 59.92 ± 17.37, and the mean postoperative score was 74.84 ± 12.48 ( < 0.0001). There was no significant difference when divided by the type of reconstruction.
Fat grafting is an ancillary procedure that improves the outcomes in breast reconstruction independently of the reconstruction type and heightens patient satisfaction, and it should be considered an integral part of any reconstruction algorithm.
乳房切除术后进行乳房重建可提高患者生活质量。无论重建类型如何，有时都需要辅助手术来改善效果。乳房脂肪移植是一种安全的手术，效果极佳。我们报告了在不同类型的重建乳房中进行自体脂肪移植后，使用BREAST-Q问卷得出的患者报告结局。
我们进行了一项单中心、前瞻性、对比研究，比较了在不同类型乳房重建（自体、异体或保乳术后）且随后进行脂肪移植的患者中，使用BREAST-Q得出的患者报告结局。
共有254例患者符合研究条件，但只有54例（68个乳房）完成了纳入所需的所有阶段。描述了患者的人口统计学和乳房特征。中位年龄为52岁。平均体重指数为26.1±3.9。进行BREAST-Q问卷评估时的平均术后时间为17.6个月。术前BREAST-Q的平均得分为59.92±17.37，术后平均得分为74.84±12.48（<0.0001）。按重建类型划分时无显著差异。
脂肪移植是一种辅助手术，无论重建类型如何，均可改善乳房重建的效果并提高患者满意度，应将其视为任何重建方案的一个组成部分。
