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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Joyce, Cormac W (Department of Plastic Surgery, University Hospital Galway) Murphy, Siun (Department of Plastic Surgery, St Vincent's University Hospital) Murphy, Stephen (Department of Plastic Surgery, University Hospital Galway) Kelly, Jack L (Department of Plastic Surgery, University Hospital Galway) Morrison, Colin M (Department of Plastic Surgery, St Vincent's University Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제5호
발행연도
2015.1
수록면
596 - 600 (5page)

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Background The uptake of breast reconstruction is ever increasing with procedures ranging from implant-based reconstructions to complex free tissue transfer. Little emphasis is placed on scarring when counseling patients yet they remain a significant source of morbidity and litigation. The aim of this study was to examine the scarring preferences of men and women in breast oncoplastic and reconstructive surgery. Methods Five hundred men and women were asked to fill out a four-page questionnaire in two large Irish centres. They were asked about their opinions on scarring post breast surgery and were also asked to rank the common scarring patterns in wide local excisions, oncoplastic procedures, breast reconstructions as well as donor sites. Results Fifty-eight percent of those surveyed did not feel scars were important post breast cancer surgery. 61% said that their partners' opinion of scars were important. The most preferred wide local excision scar was the lower lateral quadrant scar whilst the scars from the deep inferior epigastric artery perforator (DIEP) flap were most favoured. The superior gluteal artery perforator flap had the most preferred donor site while surprisingly, the DIEP had the least favourite donor site. Conclusions Scars are often overlooked when planning breast surgery yet the extent and position of the scar needs to be outlined to patients and it should play an important role in selecting a breast reconstruction option. This study highlights the need for further evaluation of patients' opinions regarding scar patterns.
#Cicatrix #Breast #Mammaplasty

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참고문헌 (18)

참고문헌 신청
Matros E / 2010 / Sociodemographics, referral patterns, and Internet use for decision-making in microsurgical breast reconstruction / Plast Reconstr Surg 125:1087~1094 google schola Manderson L / 2007 / The absent breast: speaking of the mastectomied body / Fem Psychol 17:75~92 google schola Cocquyt VF / 2003 / Better cosmetic results and comparable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment / Br J Plast Surg 56:462~470 google schola Bartelink H / 1985 / Psychological effects of breast conserving therapy in comparison with radical mastectomy / Int J Radiat Oncol Biol Phy 11:381~385 google schola Lindegren A / 2012 / Postmastectomy breast reconstruction in the irradiated breast: a comparative study of DIEP and latissimus dorsi flap outcome / Plast Reconstr Surg 130:10~18 google schola

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