Abstract
In autologous breast reconstruction accomplishing aesthetically pleasing outcomes represents an integral challenge. 3-dimensional technology may aid in accurate flap shaping and subsequent breast appearance. The aim of this study was to evaluate the applicability of 3-dimensional technology for surgical planning and its influence on outcomes for breast reconstruction. Outcomes of 50 female patients who underwent deep epigastric artery perforator flap breast reconstruction were analyzed. The patient population was divided into 2 study groups (with 3-dimensional technology vs without) including 25 patients each. Based on individual 3-dimensional scans and simulations, patient-specific templates were used intraoperatively within the 3-dimensional group. Quality of life assessment and aesthetic evaluations of breast appearance were statistically evaluated and compared. Various scales of the BREAST-Q showed statistically significantly better values within the 3-dimensional group (p < 0.05). Concerning breast appearance, patients with 3-dimensional technology rated their breast shape and projection statistically significantly higher compared to the control group (p < 0.05). In addition, blinded ratings of external plastic surgeons were statistically significantly higher in shape, symmetry and projection of breasts using 3-dimensional technology (p < 0.05). All patients treated with 3-dimensional assisted breast reconstruction strongly recommended this approach. Using patient-specific templates represents a practical method facilitating personalized flap planning and shaping. Our results demonstrate that 3-dimensional technology significantly enhances outcomes in breast reconstruction concerning aesthetics and postoperative quality of life.
Published Version
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