Nipple malposition after bilateral nipple‐sparing mastectomy with implant‐based reconstruction: Objective postoperative analysis utilizing BCCT.core computer software.
Nipple‐sparing mastectomies (NSMs) are accepted as safe oncologic procedures for select patient populations, but objective evaluation of aesthetic outcomes has not been clearly established. The purpose of this study was to utilize BCCT.core computer software to objectively evaluate NAC malposition f...
| Publicado en: | Breast Journal Vol. 26; no. 7; pp. 1270 - 1276 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144707653&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144707653 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: Jul2020 vid: 26 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 144707653 144707653 145810010 144707653 10.1111/tbj.13699 144707653 ppf: 1270 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Nipple malposition after bilateral nipple‐sparing mastectomy with implant‐based reconstruction: Objective postoperative analysis utilizing BCCT.core computer software. aug: au: Hart, Alexandra Doyle, Kathleen Losken, Albert Carlson, Grant W. affil: Division of Plastic Surgery, Emory University School of Medicine, Atlanta Georgia, sug: subj: Nipples Pathology Mastectomy Adverse Effects Breast Reconstruction Adverse Effects Postoperative Complications Nipples Anatomy and Histology Postoperative Period Software Utilization Human Breast Implants Photography Cancer Patients Surgery, Plastic Interns and Residents Intraclass Correlation Coefficient Interrater Reliability Data Analysis Software Descriptive Statistics Confidence Intervals Treatment Outcomes Breast Neoplasms Surgery ab: Nipple‐sparing mastectomies (NSMs) are accepted as safe oncologic procedures for select patient populations, but objective evaluation of aesthetic outcomes has not been clearly established. The purpose of this study was to utilize BCCT.core computer software to objectively evaluate NAC malposition following bilateral NSM with implant reconstruction and compare the analysis to an expert panel. Postoperative photographs of 43 patients who underwent bilateral NSM were analyzed with the BCCT.core and by an expert panel of plastic surgery residents and attendings. The panel was asked to only evaluate nipple asymmetry and position. The intraclass correlation coefficient (ICC) was used to determine interrater reliability (n = 12) and between expert panel ratings and BCCT.core ratings. Statistics were performed using SPSS statistical package version 24.0. The ICC for the expert panel interrater reliability was excellent (ICC = 0.941, 95% CI: 0.912‐0.964). The analysis between BCCT.core individual parameters, specifically the breast retraction assessment (ie, BRA score = the difference in nipple position between the two breasts assessing breast symmetry) and expert panel, showed statistically significant positive correlation. The parameters provided by the BCCT.core software were correlated with both the mean expert panel rating and BCCT.core ratings. Therefore, it is plausible that BCCT.core parameters could be used to objectively quantify NAC malposition/asymmetry and guide treatment in patients undergoing bilateral NSM with implant reconstruction. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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