title: Quantitative analysis of the reconstructed breast using a 3-dimensional laser light scanner.
abstract: Postoperative cosmesis of the reconstructed breast depends on the interrelation of shape, size (volume), and symmetry. In this study, reconstructed breasts were analyzed with 3-dimensional projections generated by laser light scanning. Fifty-one cases of breast reconstruction following mastectomy (16 cases of rectus abdominis flap, 15 cases of latissimus dorsi flap, and 20 cases of tissue expansion) were evaluated 6 months postoperatively. Shape, volume, and symmetry were quantitatively evaluated. Captured images of the normal breast were mirror-reversed and superimposed on images of the reconstructed breast. Differences in the generated Moire patterns were used to quantitatively compare breasts. The method was rapid, reproducible, and accurate in comparison to thermoplaster casts. It was found that rectus abdominis flaps applied following total mastectomy and latissimus dorsi flaps applied following partial mastectomy gave the best results for their relatively low degree of asymmetry. Application of tissue expansion led to greater asymmetry and poorer overall cosmesis. In conclusion, a 3-dimensional laser light scanning system makes it possible to quantitate the cosmetic outcome following breast reconstruction.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kinki University Hospital, Osaka, Japan. lsogai@med.kindai.ac.jp
authors.forename: Noritaka
authors.initials: N
authors.lastname: Isogai
authors.forename: Kenshin
authors.initials: K
authors.lastname: Sai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kamiishi
authors.forename: Masahiro
authors.initials: M
authors.lastname: Watatani
authors.forename: Hiroki
authors.initials: H
authors.lastname: Inui
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Shiozaki
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D015331:Cohort Studies; D004954:Esthetics; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000295:instrumentation* / Q000379:methods; D007834:Lasers; D016462:Mammaplasty / Q000379:methods*; D015411:Mastectomy, Modified Radical / Q000379:methods; D015413:Mastectomy, Simple / Q000379:methods; D011336:Probability; D012680:Sensitivity and Specificity; D013524:Surgical Flaps