Bottosso S1, Pasquali S2, De Grazia A2, Pastore A2, Cazzato V1*, Renzi N1, Ramella V1 and Papa G1,2
1Giuliano Isontina University Health Authority, Italy
2University of Trieste, Italy
Introduction: Nowadays breast conservative surgery is always more used thanks to screening program that gives the possibility to find tumors earlier and thanks to therapeutic mammoplasty. In therapeutic mammoplasty, the surgical technique depends on the position and the size of the tumor and from the size of the breasts. We can analyze two big groups of techniques for this surgery: The inferior and the superiors (superior, superomedial, superolateral) pedicles. The aim of the study is to compare patients undergoing breast conservative surgery and therapeutic mammoplasty in terms of esthetical result and quality of life.
Materials and Methods: This is a retrospective, observational, single-center, non-randomized study, including patients who underwent breast conservative surgery and therapeutic mammoplasty between 2012 and 2020 at Cattinara Hospital in Trieste with a minimum follow-up of 12 months. Patients have been divided into 2 groups: Group A including those with a superior pedicle reconstruction and group B including patients who underwent an inferior pedicle reconstruction. In these oncological patients the choice of the pedicle was determined by the tumor area. For every patient we collect: Anthropometric breast measurements, breast volume, Breast-Q questionnaire, iconographic documentation analyzed by breast surgeons and non-medical observers.
Results: Group A included 28 patients and group B 38 patients. Mean age of patients of group A was 57 years old, group B 59, no significant difference was noticed. As for anthropometric measurements, we compared the right measurements with the left measurements and no significant differences have been noticed, neither for breast volume. We analyzed 4 modules of the Breast-Q questionnaire. Even in this case we didn’t find any statistically significant difference. Regarding iconographic documentation there were statistically significative differences in shape and global result in favor of group A when pictures were analyzed by plastic surgeons.
Conclusion: From our study we didn’t find any significant difference regarding quality of life and esthetical result in patients undergoing breast conservative surgery and therapeutic mammoplasty with superior pedicle and inferior pedicle. This means that we can guarantee a good esthetical result and a good quality of life independently from the tumor area that influences the pedicle choice
Reconstructive surgery; Outcome analysis; Breast conservative surgery; Therapeutic mammoplasty; Superior pedicle
Bottosso S, Pasquali S, De Grazia A, Pastore A, Cazzato V, Renzi N, et al. Outcome Analysis of the Different Pedicles Used in Therapeutic Mammoplasty after Breast Conservative Surgery. Ann Plast Reconstr Surg. 2023; 7(1): 1104..