Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Long-term Results after Autologous Breast Reconstruction with DIEP Versus PAP Flaps based on Quality of Life and Aesthetic Outcome Analysis

Angela Augustin
ORCID logo ,
Evi M. Morandi
ORCID logo ,
Selina Winkelmann
,
Ines Schoberleitner
ORCID logo ,
Daniel Egle
,
Magdalena Ritter
,
Thomas Bauer
,
Tanja Wachter
,
Dolores Wolfram
* ORCID logo
Version 1 : Received: 30 November 2022 / Approved: 2 December 2022 / Online: 2 December 2022 (09:57:20 CET)

A peer-reviewed article of this Preprint also exists.

Augustin, A.; Morandi, E.M.; Winkelmann, S.; Schoberleitner, I.; Egle, D.; Ritter, M.; Bauer, T.; Wachter, T.; Wolfram, D. Long-Term Results after Autologous Breast Reconstruction with DIEP Versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis. J. Clin. Med. 2023, 12, 737. Augustin, A.; Morandi, E.M.; Winkelmann, S.; Schoberleitner, I.; Egle, D.; Ritter, M.; Bauer, T.; Wachter, T.; Wolfram, D. Long-Term Results after Autologous Breast Reconstruction with DIEP Versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis. J. Clin. Med. 2023, 12, 737.

Abstract

(1) Background: This work aimed to conduct the first comparative study providing long-term data about patient reported outcome measures as well as donor-site scar assessment and aesthetic evaluation of the reconstructed breasts in patients with DIEP versus PAP flap breast reconstruction. (2) Methods: This prospective, single-center, matched cohort study included a total of 36 patients after DIEP and PAP flap breast reconstruction. Evaluation was done using the Breast-Q and POSAS questionnaire as well as the Breast Aesthetic Scale for cosmetic analysis by four plastic surgeons. (3) Results: Post-operative Breast-Q evaluation revealed no significant differences between both patient groups for the categories physical well-being donor-site, physical well-being breast and satisfaction with the breast. Scar evaluation of the donor-site region showed equivalent results for the thigh and the abdomen concerning the overall opinion of patients and observers. There was no significant difference between both methods of reconstruction for all aspects of breast aesthetics. (4) Conclusions: Similar results of donor-site morbidity, scar quality and aesthetic outcome of the breast in both the DIEP and PAP patient group have been demonstrated. Hence, in cases suitable for both types of reconstruction, the decision can be based on factors such as patients’ lifestyle, leisure activities and preferences.

Keywords

breast cancer; mastectomy; autologous breast reconstruction; PAP flap; DIEP flap; donor-site morbidity; quality of life; aesthetic outcome; scar quality; Breast Q

Subject

Medicine and Pharmacology, Oncology and Oncogenics

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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