A Novel Method of Outcome Assessment in Breast Reconstruction Surgery: Comparison of Autologous and Alloplastic Techniques Using Three-Dimensional Surface Imaging

  • Background Breast reconstruction is an important coping tool for patients undergoing a mastectomy. There are numerous surgical techniques in breast reconstruction surgery (BRS). Regardless of the technique used, creating a symmetric outcome is crucial for patients and plastic surgeons. Three-dimensional surface imaging enables surgeons and patients to assess the outcome’s symmetry in BRS. To discriminate between autologous and alloplastic techniques, we analyzed both techniques using objective optical computerized symmetry analysis. Software was developed that enables clinicians to assess optical breast symmetry using three-dimensional surface imaging. Methods Twenty-seven patients who had undergone autologous (n = 12) or alloplastic (n = 15) BRS received three-dimensional surface imaging. Anthropomorphic data were collected digitally using semiautomatic measurements and automatic measurements. Automatic measurements were taken using the newly developed software. To quantify symmetry, a Symmetry Index is proposed. Results Statistical analysis revealed that there is no dif- ference in the outcome symmetry between the two groups (t test for independent samples; p = 0.48, two-tailed). Conclusion This study’s findings provide a foundation for qualitative symmetry assessment in BRS using automatized digital anthropometry. In the present trial, no difference in the outcomes’ optical symmetry was detected between autologous and alloplastic approaches.

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Author:Robin HartmannORCiD, Maximilian Weiherer, Daniel SchiltzORCiD, Stephan Seitz, Luisa Lotter, Alexandra Anker, Christoph PalmORCiDGND, Lukas PrantlORCiD, Vanessa BrébantORCiD
DOI:https://doi.org/10.1007/s00266-020-01749-4
Parent Title (English):Aesthetic Plastic Surgery
Publisher:Springer
Place of publication:Heidelberg
Document Type:Article
Language:English
Year of first Publication:2020
Release Date:2020/06/05
Tag:Breast reconstruction; Breast symmetry; Digital anthropometry
GND Keyword:Mammoplastik; Dreidimensionale Bildverarbeitung; Autogene Transplantation; Alloplastik
Pagenumber:8 Seiten
Institutes:Fakultät Informatik und Mathematik
Regensburg Center of Biomedical Engineering - RCBE
Regensburg Medical Image Computing - ReMIC
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 617 Chirurgie und verwandte medizinische Fachrichtungen
OpenAccess Publikationsweg:Erstveröffentlichungen