title: Radiation and breast reconstruction: Algorithmic approach and evidence-based outcomes.
abstract: Postmastectomy radiation (PMRT) in the setting of immediate breast reconstruction has been associated with increased complications and poorer aesthetic outcomes for both autologous and implant reconstructions. Many centers have attempted to mitigate the deleterious effects associated with radiation by implementing an algorithmic approach to breast reconstruction. Although the literature regarding the optimal timing of radiotherapy and breast reconstruction remains controversial, reported outcomes following various algorithms have been encouraging and warrant further consideration. J. Surg. Oncol. 2016;113:906-912. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Bassim
authors.initials: B
authors.lastname: El-Sabawi
authors.affiliation: Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Joseph N
authors.initials: JN
authors.lastname: Carey
authors.affiliation: Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Hagopian
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, California.
authors.forename: Hani
authors.initials: H
authors.lastname: Sbitany
authors.affiliation: Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Ketan M
authors.initials: KM
authors.lastname: Patel
mesh_terms: D000465:Algorithms; D018427:Breast Implants; D001943:Breast Neoplasms / Q000628:therapy; D004954:Esthetics; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D016462:Mammaplasty; D011184:Postoperative Period; D011788:Quality of Life; D011878:Radiotherapy / Q000009:adverse effects*
keywords: complications; mammaplasty; quality of life; radiotherapy