PDF(Pubmed)
Abstract：
Incisional scarring is a factor of cosmetic appearance evaluated after breast reconstruction, along with the shape, position, and size of the breast. This study aimed to examine the effect of the incision scar location on patient satisfaction after breast reconstruction. Using the Japanese version of the SCAR-Q, we assessed the scar appearance, symptoms and psychosocial effects. Plastic surgeons performed assessments using the Manchester Scar Scale. The patients were divided into two groups: those with scars on the margins of the breast (MB group) and those with scars in the breast area (IB group). The results revealed that patients in the MB group reported significantly higher satisfaction with the scar appearance and psychological impact than those in the IB group. However, assessments using the Manchester Scar Scale did not reveal any significant differences between the two groups. In conclusion, this study underscores the importance of patient-reported outcomes in the evaluation of scar satisfaction after breast reconstruction. Patients tend to prefer and have higher satisfaction with scars along the breast margin, which offers valuable insights into surgical decisions. Further studies with larger and more diverse sample sizes are required for validation.
摘要：
切口疤痕是乳房重建后评估的美容外观的一个因素，随着形状，position,和乳房的大小。本研究旨在研究切口疤痕位置对乳房再造后患者满意度的影响。使用日本版本的SCAR-Q，我们评估了疤痕的外观，症状和社会心理影响。整形外科医生使用曼彻斯特疤痕量表进行评估。将患者分为两组：乳房边缘有疤痕的患者（MB组）和乳房区域有疤痕的患者（IB组）。结果显示，MB组患者对疤痕外观和心理影响的满意度明显高于IB组。然而,使用曼彻斯特疤痕量表进行的评估未发现两组之间有任何显著差异.总之,这项研究强调了患者报告的结局在评估乳房再造后瘢痕满意度方面的重要性.患者倾向于对乳房边缘的疤痕有更高的满意度，为手术决策提供了有价值的见解。需要进行更多和更多样化的样本量的进一步研究才能进行验证。
