Comparison of aesthetic breast reconstruction after skin-sparing or conventional mastectomy, in patients receiving preoperative radiation therapy ANNALS OF PLASTIC SURGERY Chang, E. I., Ly, D. P., Wey, P. D. 2007; 59 (1): 78-81

Abstract

Many options exist for the surgical treatment of breast cancer in terms of tumor extirpation and reconstruction. Skin-sparing mastectomy (SSM) with immediate reconstruction offers patients a superior result, but this can be jeopardized by preoperative radiotherapy. We compared the outcomes of reconstruction after SSM or conventional mastectomy (CM) in the previously irradiated breast. We evaluated 41 patients over an 8-year period, who were divided into 3 categories: preoperative radiotherapy prior to SSM (n = 8), CM after preoperative radiation therapy (n = 9), and no chest wall irradiation prior to SSM (n = 20). The first group demonstrated significantly higher frequency of native flap compromise and capsular contracture formation than the other 2 groups.SSM with TRAM or latissimus with implant reconstruction is an esthetically optimal option for the treatment of patients without previous radiotherapy. However, for patients with preoperative chest wall radiation, TRAM flap reconstruction was superior to latissimus flap with implant after SSM.

View details for DOI 10.1097/01.sap.0000252487.27077.d6

View details for Web of Science ID 000247499400026

View details for PubMedID 17589266