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dc.contributor.authorFracol, Meganen_US
dc.contributor.authorQiu, Cecil S.en_US
dc.contributor.authorChiu, Max Wen-Kuanen_US
dc.contributor.authorFeld, Lauren N.en_US
dc.contributor.authorSood, Rachitaen_US
dc.contributor.authorMioton, Lauren M.en_US
dc.contributor.authorKearney, Aaronen_US
dc.contributor.authorKim, John Y. S.en_US
dc.date.accessioned2020-03-02T03:23:30Z-
dc.date.available2020-03-02T03:23:30Z-
dc.date.issued2020-01-01en_US
dc.identifier.issn0032-1052en_US
dc.identifier.urihttp://dx.doi.org/10.1097/PRS.0000000000006314en_US
dc.identifier.urihttp://hdl.handle.net/11536/153776-
dc.description.abstractBackground: Animation deformity can occur following subpectoral breast reconstruction and is an oft-touted rationale for prepectoral reconstruction. Despite increasing recognition, there is a paucity of patient-reported outcome studies in women with animation deformity. Methods: Women presenting after subpectoral implant-based breast reconstruction were evaluated for animation deformity. Video analysis and quantitative deformity assessment were performed in conjunction with BREAST-Q surveys. BREAST-Q data were compared to our quantitative animation grading scale to assess the relationship between animation severity and patient-reported outcomes. Results: One hundred forty-one subpectoral breast reconstructions met inclusion criteria. Average scores were 67.8 17.9 of 100 for satisfaction with breasts and 78.3 14.1 of 100 for physical well-being. Animation deformity severity did not correlate with satisfaction with breasts (p = 0.44). Physical well-being, particularly pain-related questions, increased with increasing animation (p = 0.01); specifically, patients reported significantly less pulling, nagging, and aching in the breast (p = 0.01, p = 0.001, and p = 0.004, respectively). Patients with the least and most severe animation deformity had significantly higher numbers of revision procedures (0.89 and 1.03 procedures, respectively) compared with patients with intermediate deformity (0.49 procedures; p = 0.01 and p = 0.009, respectively). Conclusions: Although pectoralis release creates a more mobile-and more animating-reconstruction, this same release may lead to less pain because muscle is no longer contracting against a fixed space. This may lead to two distinct origins of subpectoral revision: (1) patients in pain (but low animation) and (2) patients with visibly distorted animation (but low pain). CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.en_US
dc.language.isoen_USen_US
dc.titleThe Relationship between Animation Deformity and Patient-Reported Outcomes: Application of the BREAST-Q to a Quantitative Stratification of Animation Severityen_US
dc.typeArticleen_US
dc.identifier.doi10.1097/PRS.0000000000006314en_US
dc.identifier.journalPLASTIC AND RECONSTRUCTIVE SURGERYen_US
dc.citation.volume145en_US
dc.citation.issue1en_US
dc.citation.spage11en_US
dc.citation.epage17en_US
dc.contributor.department生物科技學系zh_TW
dc.contributor.departmentDepartment of Biological Science and Technologyen_US
dc.identifier.wosnumberWOS:000507912200004en_US
dc.citation.woscount0en_US
Appears in Collections:Articles