Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes
Current breast reconstruction evaluations mostly focus on static cosmetic analysis as a measure of the clinical outcomes. Moreover, it is essential to consider the dynamic changes in the reconstructed breast alongside assessments of aesthetic symmetry, functional restoration, complication rates, and...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co. Ltd.
2025-06-01
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| Series: | Chinese Journal of Plastic and Reconstructive Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096691124001067 |
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| author | Cheng Huang Xia Fang Nan Li Dawei Li Qi Bao Chenggang Yi Xueqing Hu |
| author_facet | Cheng Huang Xia Fang Nan Li Dawei Li Qi Bao Chenggang Yi Xueqing Hu |
| author_sort | Cheng Huang |
| collection | DOAJ |
| description | Current breast reconstruction evaluations mostly focus on static cosmetic analysis as a measure of the clinical outcomes. Moreover, it is essential to consider the dynamic changes in the reconstructed breast alongside assessments of aesthetic symmetry, functional restoration, complication rates, and long-term stability of the reconstruction. This study aimed to assess the mobility of the reconstructed breast following various breast reconstruction techniques, specifically by comparing deep inferior epigastric perforator (DIEP) flaps and pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps. We conducted a longitudinal case study to investigate the changes in breast movement resulting from different surgical interventions. The comparison showed that DIEP flap reconstruction was more likely to achieve superior breast mobility outcomes than TRAM flap reconstruction. For a better breast aesthetic outcome, it is fundamental to improve the awareness of the dynamic evaluation of the reconstructed breast at the surgical strategy level. |
| format | Article |
| id | doaj-art-4e2ce1cf1185406aae95e52cff2c959c |
| institution | Kabale University |
| issn | 2096-6911 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | KeAi Communications Co. Ltd. |
| record_format | Article |
| series | Chinese Journal of Plastic and Reconstructive Surgery |
| spelling | doaj-art-4e2ce1cf1185406aae95e52cff2c959c2025-08-20T03:27:48ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112025-06-0172899210.1016/j.cjprs.2024.11.009Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomesCheng Huang0Xia Fang1Nan Li2Dawei Li3Qi Bao4Chenggang Yi5Xueqing Hu6Department of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaDepartment of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaDepartment of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaDepartment of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaDepartment of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaCorresponding author. Department of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, 1511 Jianghong Road, Binjiang District, Hangzhou, 310014, China.; Department of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaCorresponding author. Department of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, 1511 Jianghong Road, Binjiang District, Hangzhou, 310014, China.; Department of Plastic and Reconstructive Surgery, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310014, ChinaCurrent breast reconstruction evaluations mostly focus on static cosmetic analysis as a measure of the clinical outcomes. Moreover, it is essential to consider the dynamic changes in the reconstructed breast alongside assessments of aesthetic symmetry, functional restoration, complication rates, and long-term stability of the reconstruction. This study aimed to assess the mobility of the reconstructed breast following various breast reconstruction techniques, specifically by comparing deep inferior epigastric perforator (DIEP) flaps and pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps. We conducted a longitudinal case study to investigate the changes in breast movement resulting from different surgical interventions. The comparison showed that DIEP flap reconstruction was more likely to achieve superior breast mobility outcomes than TRAM flap reconstruction. For a better breast aesthetic outcome, it is fundamental to improve the awareness of the dynamic evaluation of the reconstructed breast at the surgical strategy level.http://www.sciencedirect.com/science/article/pii/S2096691124001067Deep inferior epigastric perforator flapTransverse rectus abdominis musculocutaneous flapBreast mobilityBreast reconstruction outcome |
| spellingShingle | Cheng Huang Xia Fang Nan Li Dawei Li Qi Bao Chenggang Yi Xueqing Hu Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes Chinese Journal of Plastic and Reconstructive Surgery Deep inferior epigastric perforator flap Transverse rectus abdominis musculocutaneous flap Breast mobility Breast reconstruction outcome |
| title | Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes |
| title_full | Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes |
| title_fullStr | Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes |
| title_full_unstemmed | Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes |
| title_short | Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes |
| title_sort | deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction a comparison of breast mobility outcomes |
| topic | Deep inferior epigastric perforator flap Transverse rectus abdominis musculocutaneous flap Breast mobility Breast reconstruction outcome |
| url | http://www.sciencedirect.com/science/article/pii/S2096691124001067 |
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