Evaluation of Functional Outcome of Oncoplastic Breast Surgery for Malignant Tumor in The Upper Half of The Breast

Abstract

Background: Numerous plastic surgical treatments including volume displacement or replacement techniques vary depending on the tumor position, presence of ptosis, tumor to breast ratio, and surgeon skill

Objectives: This study aimed to compare the viability, cosmoses, postoperative complications, and musculoskeletal functional result of  volume displacement procedures and the Latissimus dorsi (LD) flap.

Patients and methods: 64 patients were divided into two groups and underwent conservative breast surgery and reconstruction using either volume displacement procedures or LD flap. Follow-up for 1 year was planned. The mean age in group A was 38.12 ± 4.16 years  whereas it was 39.42 ± 5.46 years in group B. The mean operative time was 174.7 ± 13.55 and 139.7 ± 9.64 minutes in group A and group B  respectively (P = 0.001*). There was no significant difference between the 2 groups regarding postoperative complications. In groups A  and B demonstrated satisfactory results, with 90.6% of the LD flap and 93.8% of them exhibiting "excellent" and "good" outcomes  respectively. When compared at 3 and 6 months intervals in group A, patients had shoulder function disability using SPADI and significant improvement with time (P < 0.001). While, group B showed no signs of shoulder dysfunction.

Conclusion: Volume displacement  procedures are dependable, more practical, and associated with less postoperative problems than LD flaps. Compared to the LD flap,  those procedures offer a much superior cosmetic and, ultimately, functional outcome.