Maximilian Zaussinger, Karl Schwaiger, Jürgen Schwarzbauer, Bernhard Schwartz, Matthias Holzbauer, Kathrin Bachleitner, Gudrun Ehebruster, Manfred Schmidt
{"title":"3D技术用于自体乳房重建：使用患者特定模板提高美学效果和生活质量。","authors":"Maximilian Zaussinger, Karl Schwaiger, Jürgen Schwarzbauer, Bernhard Schwartz, Matthias Holzbauer, Kathrin Bachleitner, Gudrun Ehebruster, Manfred Schmidt","doi":"10.1093/asj/sjaf005","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In autologous breast reconstruction accomplishing aesthetically pleasing outcomes represents an integral challenge. Three-dimensional (3D) technology may aid in accurate flap shaping and subsequent breast appearance.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the applicability of 3-dimensional technology for surgical planning and its influence on outcomes for breast reconstruction.</p><p><strong>Methods: </strong>Outcomes of 50 female patients who underwent deep epigastric artery perforator flap breast reconstruction were analyzed. The patient population was divided into 2 study groups (with 3D technology vs without), including 25 patients each. Based on individual 3D scans and simulations, patient-specific templates were utilized intraoperatively in the 3D group. Quality of life assessment and aesthetic evaluations of breast appearance were statistically evaluated and compared.</p><p><strong>Results: </strong>Various scales of the BREAST-Q showed statistically significantly better values in the 3D group (P < .05). Concerning breast appearance, patients with 3D technology rated their breast shape and projection statistically significantly higher compared to the control group (P < .05). In addition, blinded ratings of external plastic surgeons were statistically significantly higher related to shape, symmetry, and projection of breasts with 3D technology (P < .05). All patients treated with 3D technology-assisted breast reconstruction strongly recommended this approach.</p><p><strong>Conclusions: </strong>Patient-specific templates represent a practical method for facilitating personalized flap planning and shaping. Results demonstrated that 3D technology significantly enhances breast reconstruction outcomes concerning aesthetics and postoperative quality of life.</p><p><strong>Level of evidence: 3 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"373-380"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"3D Technology for Autologous Breast Reconstruction: Increased Aesthetic Outcomes and Quality of Life Utilizing Patient-Specific Templates.\",\"authors\":\"Maximilian Zaussinger, Karl Schwaiger, Jürgen Schwarzbauer, Bernhard Schwartz, Matthias Holzbauer, Kathrin Bachleitner, Gudrun Ehebruster, Manfred Schmidt\",\"doi\":\"10.1093/asj/sjaf005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In autologous breast reconstruction accomplishing aesthetically pleasing outcomes represents an integral challenge. Three-dimensional (3D) technology may aid in accurate flap shaping and subsequent breast appearance.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the applicability of 3-dimensional technology for surgical planning and its influence on outcomes for breast reconstruction.</p><p><strong>Methods: </strong>Outcomes of 50 female patients who underwent deep epigastric artery perforator flap breast reconstruction were analyzed. The patient population was divided into 2 study groups (with 3D technology vs without), including 25 patients each. Based on individual 3D scans and simulations, patient-specific templates were utilized intraoperatively in the 3D group. Quality of life assessment and aesthetic evaluations of breast appearance were statistically evaluated and compared.</p><p><strong>Results: </strong>Various scales of the BREAST-Q showed statistically significantly better values in the 3D group (P < .05). Concerning breast appearance, patients with 3D technology rated their breast shape and projection statistically significantly higher compared to the control group (P < .05). In addition, blinded ratings of external plastic surgeons were statistically significantly higher related to shape, symmetry, and projection of breasts with 3D technology (P < .05). All patients treated with 3D technology-assisted breast reconstruction strongly recommended this approach.</p><p><strong>Conclusions: </strong>Patient-specific templates represent a practical method for facilitating personalized flap planning and shaping. Results demonstrated that 3D technology significantly enhances breast reconstruction outcomes concerning aesthetics and postoperative quality of life.</p><p><strong>Level of evidence: 3 (therapeutic): </strong></p>\",\"PeriodicalId\":7728,\"journal\":{\"name\":\"Aesthetic Surgery Journal\",\"volume\":\" \",\"pages\":\"373-380\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-03-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aesthetic Surgery Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/asj/sjaf005\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Surgery Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/asj/sjaf005","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
3D Technology for Autologous Breast Reconstruction: Increased Aesthetic Outcomes and Quality of Life Utilizing Patient-Specific Templates.
Background: In autologous breast reconstruction accomplishing aesthetically pleasing outcomes represents an integral challenge. Three-dimensional (3D) technology may aid in accurate flap shaping and subsequent breast appearance.
Objectives: The aim of this study was to evaluate the applicability of 3-dimensional technology for surgical planning and its influence on outcomes for breast reconstruction.
Methods: Outcomes of 50 female patients who underwent deep epigastric artery perforator flap breast reconstruction were analyzed. The patient population was divided into 2 study groups (with 3D technology vs without), including 25 patients each. Based on individual 3D scans and simulations, patient-specific templates were utilized intraoperatively in the 3D group. Quality of life assessment and aesthetic evaluations of breast appearance were statistically evaluated and compared.
Results: Various scales of the BREAST-Q showed statistically significantly better values in the 3D group (P < .05). Concerning breast appearance, patients with 3D technology rated their breast shape and projection statistically significantly higher compared to the control group (P < .05). In addition, blinded ratings of external plastic surgeons were statistically significantly higher related to shape, symmetry, and projection of breasts with 3D technology (P < .05). All patients treated with 3D technology-assisted breast reconstruction strongly recommended this approach.
Conclusions: Patient-specific templates represent a practical method for facilitating personalized flap planning and shaping. Results demonstrated that 3D technology significantly enhances breast reconstruction outcomes concerning aesthetics and postoperative quality of life.
期刊介绍：
Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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