Patient Reported Quality of Life and Aesthetic Satisfaction with Latissimus Dorsi Flap in Immediate Partial and Delayed Total Breast Reconstruction

Objectives: Latissimus dorsi (LD) muscle flap can be used as an alternative to abdominal flaps for autologous breast reconstruction. The aim of the present study was to present the results of the quality of life and aesthetic satisfaction of breast reconstruction surgeries with LD flap and implants.
Methods: Sixteen patients who had undergone LD flap breast reconstruction were included in the study. Patients were surveyed on the quality of life and aesthetic satisfaction 12 months following breast reconstruction.
Results: There were no major complications observed following surgeries. All of the patients included in the study were highly satisfied with the final aesthetic results. There was no difference in satisfaction rate between partial versus total reconstructions and between reconstruction with or without implant.
Conclusion: LD flaps can be a good alternative to abdominal flaps for autologous breast reconstruction for both partial and total breast reconstruction and can achieve similar aesthetic results.

Latissimus dorsi flebi ile yapýlan parsiyel eþ zamanlý ve total geç meme rekonstrüksiyonlarýnda hasta bildirimine dayalý estetik memnuniyet ve hayat kalitesinin incelenmesi

Amaç: Latissimus dorsi (LD) kas flebi otolog meme rekonstrüksiyonlarýnda karýn fleplerine alternatif olarak kullanabilir. Bu çalýþmada LD flebi ve implant ile yapýlan meme rekonstrüksiyonlarda hastalarýn yaþam kalitesi ve estetik memnuniyet derecesi araþtýrýldý.
Yöntemler: LD flebi ile meme rekonstrüksiyonu yapýlmýþ olan 16 hasta çalýþmaya dahil edildi. Hastalara ameliyattan 12 ay sonra yaþam kalitesinin ve estetik memnuniyetin deðerlendirilmesi amacýyla anket uygulandý.
Bulgular: Hastalarýn hiçbirinde ameliyat sonrasýnda majör komplikasyon saptanmadý. Tüm hastalarýn estetik sonuçlardan ileri derecede memnun olduklarý ve yaþam kalitelerinin yüksek olduðu tespit edildi. Memnuniyet derecesinin parsiyel ve total, implantlý veya implantsýz rekonstrüksiyonlarda deðiþmedi görüldü.
Sonuç: LD flebi parsiyel ve total otolog meme rekonstrüksiyonlarýnda karýn fleplerine iyi bir alternatif olabilir ve benzer seviyede estetik sonuçlar saðlayabilir.