The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients
Objective:The aim of this study is to investigate the effect of mini latissimus dorsi flap (MLDF) reconstruction on ipsilateral shoulder functions.Materials and Methods: Those included in the study are the patients aged between 23 and 73, who were operated with the diagnosis of early breast cancer (...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2019-07-01
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| Series: | European Journal of Breast Health |
| Subjects: | |
| Online Access: |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/the-effect-of-mini-latissimus-dorsi-flap-mldf-reco/41980
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| _version_ | 1797916162889089024 |
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| author | Tomris Duymaz Zeynep Erdoğan İyigün Ahmet Serkan İlgün Çetin Ordu Muhammed Üçüncü Gül Alço Alper Öztürk Filiz Elbüken Fatma Aktepe Vahit Özmen |
| author_facet | Tomris Duymaz Zeynep Erdoğan İyigün Ahmet Serkan İlgün Çetin Ordu Muhammed Üçüncü Gül Alço Alper Öztürk Filiz Elbüken Fatma Aktepe Vahit Özmen |
| author_sort | Tomris Duymaz |
| collection | DOAJ |
| description | Objective:The aim of this study is to investigate the effect of mini latissimus dorsi flap (MLDF) reconstruction on ipsilateral shoulder functions.Materials and Methods: Those included in the study are the patients aged between 23 and 73, who were operated with the diagnosis of early breast cancer (cT1-3)N0). The first group includes the patients who had sentinel lymph node biopsy (SLNB) with partial mastectomy. The second group consists of the patients who had axillary lymph nodule dissection (ALND) with partial mastectomy. The third group includes the patients who had SLNB and MLDF with partial mastectomy. The fourth group includes the patients who had ALND and MLDF with partial mastectomy. Patients’ Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score work model point were recorded.Results: 174 patients were included in this study. According to Q-DASH score, no functional change was detected in 69.5% of the patients, whereas slight functional loss was identified in 23.6%, moderate functional loss in 5.7%, severe functional loss 1.1%. In the comparison of Q-DASH scores in surgery groups, while these four groups were being analyzed, a significant difference was determined (p=0.007). When dual analyses were made, it was also established that the difference resulted from the group to which ALND and MLDF were applied together.Conclusion: We conclude that MLDF application for reconstruction purposes after breast surgery has a negative impact on shoulder functions of the patients who had both of partial mastectomy and ALND. |
| first_indexed | 2024-04-10T12:52:56Z |
| format | Article |
| id | doaj.art-87153e1c875a48ab84bf0ee730e874d0 |
| institution | Directory Open Access Journal |
| issn | 2587-0831 |
| language | English |
| last_indexed | 2024-04-10T12:52:56Z |
| publishDate | 2019-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | European Journal of Breast Health |
| spelling | doaj.art-87153e1c875a48ab84bf0ee730e874d02023-02-15T16:13:39ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312019-07-0115315816210.5152/ejbh.2019.472713049054The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer PatientsTomris Duymaz0Zeynep Erdoğan İyigün1Ahmet Serkan İlgün2Çetin Ordu3Muhammed Üçüncü4Gül Alço5Alper Öztürk6Filiz Elbüken7Fatma Aktepe8Vahit Özmen9 Department of Physiotherapy and Rehabilitation, İstanbul Bilgi University School of Health Sciences, İstanbul, Turkey Department of Physiotherapy and Rehabilitation, İstanbul Bilim University School of Medicine, İstanbul, Turkey Department of General Surgery, Taksim Training and Research Hospital, İstanbul, Turkey Department of Medical Oncology, İstanbul Bilim University School of Medicine, İstanbul, Turkey Centre of Breast Health, İstanbul Florence Nightingale Hospital, İstanbul, Turkey Department of Radiation Oncology, Gayrettepe Florence Nightingale Hospital, İstanbul, Turkey Department of General Surgery, Biruni University School of Medicine, İstanbul, Turkey Departmment of Radiology, Gayrettepe Florence Nightingale Hospital, İstanbul, Turkey Department of Pathology, Gayrettepe Florence Nightingale Hospital, İstanbul, Turkey Department of General Surgery, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Objective:The aim of this study is to investigate the effect of mini latissimus dorsi flap (MLDF) reconstruction on ipsilateral shoulder functions.Materials and Methods: Those included in the study are the patients aged between 23 and 73, who were operated with the diagnosis of early breast cancer (cT1-3)N0). The first group includes the patients who had sentinel lymph node biopsy (SLNB) with partial mastectomy. The second group consists of the patients who had axillary lymph nodule dissection (ALND) with partial mastectomy. The third group includes the patients who had SLNB and MLDF with partial mastectomy. The fourth group includes the patients who had ALND and MLDF with partial mastectomy. Patients’ Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score work model point were recorded.Results: 174 patients were included in this study. According to Q-DASH score, no functional change was detected in 69.5% of the patients, whereas slight functional loss was identified in 23.6%, moderate functional loss in 5.7%, severe functional loss 1.1%. In the comparison of Q-DASH scores in surgery groups, while these four groups were being analyzed, a significant difference was determined (p=0.007). When dual analyses were made, it was also established that the difference resulted from the group to which ALND and MLDF were applied together.Conclusion: We conclude that MLDF application for reconstruction purposes after breast surgery has a negative impact on shoulder functions of the patients who had both of partial mastectomy and ALND. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/the-effect-of-mini-latissimus-dorsi-flap-mldf-reco/41980 breast reconstructionlatissimus dorsi flapshoulder functions |
| spellingShingle | Tomris Duymaz Zeynep Erdoğan İyigün Ahmet Serkan İlgün Çetin Ordu Muhammed Üçüncü Gül Alço Alper Öztürk Filiz Elbüken Fatma Aktepe Vahit Özmen The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients European Journal of Breast Health breast reconstruction latissimus dorsi flap shoulder functions |
| title | The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients |
| title_full | The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients |
| title_fullStr | The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients |
| title_full_unstemmed | The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients |
| title_short | The Effect of Mini-Latissimus Dorsi Flap (MLDF) Reconstruction on Shoulder Function in Breast Cancer Patients |
| title_sort | effect of mini latissimus dorsi flap mldf reconstruction on shoulder function in breast cancer patients |
| topic | breast reconstruction latissimus dorsi flap shoulder functions |
| url |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/the-effect-of-mini-latissimus-dorsi-flap-mldf-reco/41980
|
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