We present the results of a retrospective study on 71 patients who underwent breast reconstruction after uni- or bilateral breast cancer. Quality of life (QoL) was evaluated dependent on whether contralateral mammaplasties to obtain symmetry had been performed or not. We used three standardized questionnaires ("SF-36" and the EORTC-questionnaires "QLQ-C30" and "QLQ-BR23") and compared four groups of patients: Group 1: no contralateral breast cancer, but contralateral symmetrical mammaplasty (n = 31). Group 2: no contralateral breast cancer, no contralateral mammaplasty (n = 22). Group 3: contralateral breast cancer, contralateral symmetrical mammaplasty (n = 9). Group 4: contralateral breast cancer, no contralateral mammaplasty (n = 9). Patients with contralateral mammaplasty for symmetry presented statistically higher levels of QoL than patients who only underwent a surgical reconstruction of the carcinomatous breast without any contralateral mammaplasty. More detailed, group 1 manifested higher levels in 17 out of 31 QoL categories than group 2. Group 3, when compared to group 4, showed higher levels in 15 QoL categories. These objective data demonstrate that the outward appearance of the female breast as a symmetrical created organ plays a pivotal role considering QoL. There is significant need to integrate breast symmetry into our preoperative plastic-surgical planning and conversations with patients.
& Purpose: In the years 2004 -2007 30 patients with a fracture of the distal radius and severe reduction of hand power and mobility and moreover intensive pain were presented to our outpatient clinic 10.6 months after accident on an average. In all cases the therapy procedure was not fi nished. The patients underwent a clearly structured programme of intensive hand rehabilitation on an in-patient basis (period of therapy 3.77 weeks on an average). With supervision by hand surgeons a full-day programme with integration of physiotherapy, ergotherapy, sports activities as well as pain treatment and psychological support was performed. The aim of the study was to evaluate the eff ectiveness and economic reasonability of this treatment considering the higher expenditure and cost in comparison to an outpatient programme. Materials and methods: Computer-assisted we evaluated those parameters related to hand function at the beginning and after fi nishing the rehabilitation programme for every patient. Additionally, three experienced and independent hand surgeons estimated the " MdE " (Workers ' compensation rate; reduction in earning capacity) before and after treatment. Results: The patients demonstrated statistically signifi cant improvements in general strength of the hand (power grip, 20.1 % ), pinch grip (16.9 % ), three-point-grip (11.6 % ), active pronation (7.2 % ), supination (8.2 % ), dorsal extension (47.9 % ), palmar fl exion (47.9 % ), ulnar abduction (45.5 % ) and radial abduction (80.1 % ). Additionally, there were statistically signifi cant reductions of the distances between the fi ngers (II -V) and the distal palm as well as the fi ngernails and the prolonged hand dorsum layer when fl exing (37.8 % ; 38.5 % ; 26 % ; 34.9 % ) respectively stretching (43.8 % ; 51.4 % ; 53.1 % ; 34.8 % ) the fi ngers. The average reduction in earning capacity could be wurden 30 Patienten nach distaler Radiusfraktur durchschnittlich 10,6 Monate nach dem Unfall aufgrund starker Kraft-und Beweglichkeitsdefizite sowie Schmerzen vorgestellt, ohne dass bis dahin das Heilverfahren abgeschlossen werden konnte. Sie nahmen an einer intensiven station ä ren Handrehabilitation teil (durchschnittliche Behandlungsdauer 3,77 Wochen). Die Patienten erhielten unter handchirurgischer Leitung eine ganzt ä gige intensive Behandlung unter Einbeziehung von Krankengymnastik, Ergo-und Sporttherapie, schmerztherapeutischer und psychologischer Betreuung. Die Therapie wurde messtechnisch kontrolliert und der Behandlungsfortschritt in w ö chentlichen Teamsitzungen mit dem Patienten evaluiert. Der in diesen Wochen deutlich h ö here Aufwand war zu ü berpr ü fen unter der Frage der medizinischen Therapieeffi zienz und der ö konomischen Zweckm ä ß igkeit vor dem Hintergrund der Therapiekosten und der Frage der M ö glichkeit der zeitnahen berufl ichen Wiedereingliederung. Material und Methode: Wir ermittelten computergest ü tzt f ü r die Handfunktion relevante Parameter jeweils zu Beginn und am Ende der Behandlungsperiode. Au ß erdem erfolgte eine Einsch ...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.