IMPLANT-BASED BREAST RECONSTRUCTION OUTCOMES USING BREAST-Q IN NORTH BORNEO MALAYSIA: A SINGLE-CENTRE STUDY
DOI:
https://doi.org/10.55197/qjmhs.v5i3.217Keywords:
breast implant, breast cancer, reconstruction, patientsAbstract
Implant based reconstruction had been used for centuries and was popularised by western country since 1964. Being a developing country, this oncoplastic technique is slowly gained trust and accepted by our people. In North Borneo Malaysia especially where the people generally are more conservative when it comes to breast cancer treatment, it takes longer time for this technique to be chosen and accepted by them. This paper aim to highlight our early experienced as the only breast and endocrine unit for whole North Borneo, Malaysia, with implant-based breast reconstruction following mastectomy in our breast cancer patient. Data was retrospectively analysed from 2017 till 2023. Total of 35 patients were enrolled in this study. Each of them was given BREAST Q questionnaire during follow up to assess patient satisfaction. Thirty patients were enrolled in this study. Mean age of patient was 40-year-old with most of them had early breast cancer. 46% (n=14) had received radiotherapy. Small percentage of the patient developed surgical site infection after reconstruction that required longer antibiotics and one of them needs re-operation for open drainage. In assessment of quality of life, more than 70% of patient give score of 75-100 for satisfaction with implant, psychosocial and physical well-being. However, in patient who received radiotherapy, the mean scores were much lower compared to those who did not received radiotherapy. Implant-based reconstruction had low complications and give high satisfaction with surgical outcome among patient in North Borneo Malaysia.
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