Breast Reconstruction- Developing a Volumetric Outcome Algorithm

Yang, Siling; Klietz, Marie-Luise; Hirsch, Tobias; Wiebringhaus, Philipp; Aitzetmüller, Matthias M.

doi:10.1007/s00266-021-02759-6

Cited by 2 publications

(1 citation statement)

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“…The objective of preoperative volume planning is to overcompensate the initial flap volume concerning its anticipated final volume. Although there have been some studies evaluating the residual postoperative flap volume, specific factors and their impacts have seldom been thoroughly examined [ 53 ]. Most volumetric assessment studies have focused on head and neck flap reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Impact of Adjuvant Radiotherapy on Free Flap Volume in Autologous Breast Reconstruction: A Scoping Review

Pfister,

Müller,

Eberhardt

et al. 2023

JCM

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In autologous breast reconstruction, a sufficient flap volume is fundamental to restore breast shape and ensure an aesthetic outcome. After mastectomy, postoperative irradiation is regularly indicated in the oncological treatment algorithm. When administering radiation therapy after autologous reconstruction, the tissue transferred is inherently irradiated. Although there is evidence that points to a reduction in flap volume after adjuvant radiotherapy, the data have been contradicting and inconclusive. To address this anecdotal evidence, we performed a scoping review of the current literature that addresses the effect of radiotherapy on breast flap volume. Six two-armed studies, comprising a total of 462 patients, reported on the effect of adjuvant radiotherapy on free flap volume changes. Of those, two studies found a significant negative impact of radiotherapy on free flap volume, while the other four studies did not. Reported flap volume changes ranged from no change to a reduction of 26.2%, measured up to two years postoperatively. The selected studies contain varying patient numbers, follow-up timepoints, types of flaps, and measuring methods, contributing to a relatively high heterogeneity. While we present some evidence suggesting a significant impact of adjuvant radiotherapy on breast flap volume, future studies are needed to further investigate this potential correlation.

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Section: Discussionmentioning

confidence: 99%