File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Objective evaluation of the latissimus dorsi flap for breast reconstruction using three-dimensional imaging

TitleObjective evaluation of the latissimus dorsi flap for breast reconstruction using three-dimensional imaging
Authors
Issue Date2012
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/707671/description#description
Citation
Journal Of Plastic, Reconstructive And Aesthetic Surgery, 2012, v. 65 n. 9, p. 1209-1215 How to Cite?
AbstractBackground: The latissimus dorsi muscle flap is a common method for the reconstruction of the breast following mastectomy. The study aimed to assess the quality of this reconstruction using a three-dimensional (3D) imaging method. The null hypothesis was that there was no difference in volume between the reconstructed breast and the opposite side. Methods: This study was conducted in forty-four patients who had had immediate unilateral breast reconstruction by latissimus dorsi muscle flap. The breast was captured using the 3D imaging system. Ten landmarks were digitised on the 3D images. The volume of each breast was measured by the application of Breast Analysis Tool software. The symmetry of the breast was measured using Procrustes analysis. The impact of breast position, orientation, size and intrinsic shape on the overall breast asymmetry was investigated. Results: The null hypothesis was rejected. The reconstructed breast showed a significantly smaller volume when compared to the opposite side, p < 0.0001, a mean difference of 176.8 cc and 95% CI (103.5, 250.0). The shape and the position of the reconstructed breast were the main contributing factors to the measured asymmetry score. Conclusions: 3D imaging was efficient in evaluating the outcome of breast surgery. The latissimus dorsi muscle flap on its own for breast reconstruction did not restore the volume and shape of the breast fully lost due to complete mastectomy. The modification of this method and the selection of other or additional surgical techniques for breast reconstruction should be considered. The asymmetry analysis through reflection and Procrustes matching was a useful method for the objective shape analysis of the female breast and presented a new approach for breast shape assessment. The intrinsic breast shape and the positioning of the breast were major components of postoperative breast asymmetry. The reconstructed breast was smaller overall than the un-operated breast at a significant level when assessing the breast volume using the surface area. 3D imaging by multiple stereophotogrammetry was a useful tool for volume measurements, shape analysis and the evaluation of symmetry. © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/174227
ISSN
2015 Impact Factor: 1.743
2015 SCImago Journal Rankings: 0.974
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHenseler, Hen_US
dc.contributor.authorSmith, Jen_US
dc.contributor.authorBowman, Aen_US
dc.contributor.authorKhambay, BSen_US
dc.contributor.authorJu, Xen_US
dc.contributor.authorAyoub, Aen_US
dc.contributor.authorRay, AKen_US
dc.date.accessioned2012-11-22T01:58:50Z-
dc.date.available2012-11-22T01:58:50Z-
dc.date.issued2012en_US
dc.identifier.citationJournal Of Plastic, Reconstructive And Aesthetic Surgery, 2012, v. 65 n. 9, p. 1209-1215en_US
dc.identifier.issn1748-6815en_US
dc.identifier.urihttp://hdl.handle.net/10722/174227-
dc.description.abstractBackground: The latissimus dorsi muscle flap is a common method for the reconstruction of the breast following mastectomy. The study aimed to assess the quality of this reconstruction using a three-dimensional (3D) imaging method. The null hypothesis was that there was no difference in volume between the reconstructed breast and the opposite side. Methods: This study was conducted in forty-four patients who had had immediate unilateral breast reconstruction by latissimus dorsi muscle flap. The breast was captured using the 3D imaging system. Ten landmarks were digitised on the 3D images. The volume of each breast was measured by the application of Breast Analysis Tool software. The symmetry of the breast was measured using Procrustes analysis. The impact of breast position, orientation, size and intrinsic shape on the overall breast asymmetry was investigated. Results: The null hypothesis was rejected. The reconstructed breast showed a significantly smaller volume when compared to the opposite side, p < 0.0001, a mean difference of 176.8 cc and 95% CI (103.5, 250.0). The shape and the position of the reconstructed breast were the main contributing factors to the measured asymmetry score. Conclusions: 3D imaging was efficient in evaluating the outcome of breast surgery. The latissimus dorsi muscle flap on its own for breast reconstruction did not restore the volume and shape of the breast fully lost due to complete mastectomy. The modification of this method and the selection of other or additional surgical techniques for breast reconstruction should be considered. The asymmetry analysis through reflection and Procrustes matching was a useful method for the objective shape analysis of the female breast and presented a new approach for breast shape assessment. The intrinsic breast shape and the positioning of the breast were major components of postoperative breast asymmetry. The reconstructed breast was smaller overall than the un-operated breast at a significant level when assessing the breast volume using the surface area. 3D imaging by multiple stereophotogrammetry was a useful tool for volume measurements, shape analysis and the evaluation of symmetry. © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.en_US
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/707671/description#descriptionen_US
dc.relation.ispartofJournal of Plastic, Reconstructive and Aesthetic Surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshAnatomic Landmarksen_US
dc.subject.meshBreast Neoplasms - Diagnosis - Surgeryen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshGraft Rejectionen_US
dc.subject.meshGraft Survivalen_US
dc.subject.meshGreat Britainen_US
dc.subject.meshHumansen_US
dc.subject.meshImage Interpretation, Computer-Assisteden_US
dc.subject.meshImaging, Three-Dimensionalen_US
dc.subject.meshMammaplasty - Methodsen_US
dc.subject.meshMastectomy - Methodsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMuscle, Skeletal - Transplantationen_US
dc.subject.meshPhotogrammetryen_US
dc.subject.meshPostoperative Care - Methodsen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSurgical Flapsen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleObjective evaluation of the latissimus dorsi flap for breast reconstruction using three-dimensional imagingen_US
dc.typeArticleen_US
dc.identifier.emailKhambay, BS: bkhambay@hku.hken_US
dc.identifier.authorityKhambay, BS=rp01691en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.bjps.2012.03.043en_US
dc.identifier.pmid22525253-
dc.identifier.scopuseid_2-s2.0-84864700124en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84864700124&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume65en_US
dc.identifier.issue9en_US
dc.identifier.spage1209en_US
dc.identifier.epage1215en_US
dc.identifier.isiWOS:000307657500023-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridHenseler, H=55190230000en_US
dc.identifier.scopusauthoridSmith, J=36542936300en_US
dc.identifier.scopusauthoridBowman, A=7102427278en_US
dc.identifier.scopusauthoridKhambay, BS=7003979053en_US
dc.identifier.scopusauthoridJu, X=8275367000en_US
dc.identifier.scopusauthoridAyoub, A=7005361507en_US
dc.identifier.scopusauthoridRay, AK=7401641117en_US

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats