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dc.contributor.authorKoh, Eugene
dc.contributor.authorWatson, David Ian
dc.contributor.authorDean, Nicola Ruth
dc.date.accessioned2018-10-11T04:49:23Z
dc.date.available2018-10-11T04:49:23Z
dc.date.issued2018-06-08
dc.identifier.citationKoh, E., Watson, D. I., & Dean, N. R. (2018). Quality of life and shoulder function after latissimus dorsi breast reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 71(9), 1317–1323.en_US
dc.identifier.issn1878-0539
dc.identifier.urihttp://hdl.handle.net/2328/38398
dc.descriptionPart of this article has been presented at the following meeting 4th June 2017: The Plastic Surgery Congress of the Australian Society of Plastic Surgeons in June 2017 in the Gold Coast, Australia. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/ which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. This author accepted manuscript is made available following 12 month embargo from date of publication (June 2018) in accordance with the publisher’s archiving policyen_US
dc.description.abstractBreast reconstruction using a latissimus dorsi flap impacts one of the principal muscles of the shoulder. There is therefore concern that this procedure could impair shoulder function. The primary objective of this study was to study the effect of breast reconstruction using the latissimus dorsi flap on patient reported shoulder function and quality of life, compared to women who underwent total mastectomy without reconstruction. Methods A case-controlled cross-sectional study was conducted using the validated Breast-Q questionnaire and a functional back and shoulder questionnaire. Questionnaires were mailed to women who had undergone latissimus dorsi flap breast reconstruction (n = 100) and women who had undergone total mastectomy without reconstruction (n = 121). The responses from the 2 groups were compared, and results were analysed with t-test and Pearson's Correlation. Results Responses were received from 119 patients (60 latissimus dorsi patients and 59 mastectomy alone patients). Latissimus dorsi flap patients had significantly higher Breast-Q scores for all quality of life domains when compared to mastectomy alone patients. There was, however, no significant difference in functional back and shoulder scores between the two groups. Latissimus dorsi flap patients also scored highly for satisfaction with outcome and satisfaction for the ‘back’. Conclusion Patients report high levels of satisfaction following Latissimus dorsi flap breast reconstruction. This type of reconstruction did not adversely impact back and shoulder function.en_US
dc.description.sponsorshipNone.en_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.rightsCrown Copyright © 2018 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.subjectBreast reconstructionen_US
dc.subjectLatissimus dorsien_US
dc.subjectBreast-Qen_US
dc.subjectTotal mastectomyen_US
dc.subjectShoulder functionen_US
dc.titleQuality of life and shoulder function after latissimus dorsi breast reconstructionen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1016/j.bjps.2018.05.011en_US
dc.rights.holderPublished by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.en_US
local.contributor.authorOrcidLookupKoh, Eugene: https://orcid.org/0000-0001-8335-2447en_US
local.contributor.authorOrcidLookupWatson, David Ian: https://orcid.org/0000-0002-7683-2693en_US


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