Marco Ríos V

INFLUENCIA DE LA APARIENCIA DE LAS MAMAS EN LA CALIDAD DE VIDA. DIFERENCIAS ENTRE POBLACIÓN PREOPERATORIA DE MAMOPLASTÍA DE REDUCCIÓN Y POBLACIÓN CONTROL

Criterion validity of a questionnaire to assess quality of life associated to the appearance of breasts in women Background: The Breast QoL Reduction and Mastopexy Module assesses quality of life associated to breast appearance from the point of view of the patient. Its Spanish version was recently validated in Chile. Aim: To assess the criterion validity of the instrument applying it in different populations of women and in the pre and post-operative periods. Material and Methods: The questionnaire was applied to six women subjected to reduction mammoplasty in the pre and post-operative period. It was also applied to 20 women hospitalized for other causes and 20 female medical students. Results: There were significant differences between operated women and their non-operated counterparts in the domains body self-image, social performance and physical symptoms. No differences in sexuality were found. However this last question was answered only by four operated patients, since two declared not to have sex life. Conclusions: The questionnaire is useful to assess quality of life associated to the appearance of breasts.

Medición de los resultados desde la perspectiva del paciente en cirugía de contorno corporal: creación del instrumento Body-QoL

Development of an instrument to evaluate the results of plastic surgery from the perspective of the patient Background: Body remodeling surgical procedures requires an assessment from the clients point of view in terms of esthetic satisfaction. Aim: To develop an instrument of assess body remodeling surgical results from the point of view of the patient. Material and Methods: A literature search for assessment methods was carried out. Posteriorly, in depth interviews and focus groups with plastic surgeons and patients subjected to plastic surgery procedures were performed. With this information, a conceptual framework was established to devise the instrument. Results: Sixteen patients and five plastic surgeons participated in the interviews and focus groups. The domains included in the conceptual framework were outfit and body image, affective and sexual life, self-image and esteem, social relationships and physical symptoms. Conclusions: The conceptual framework for the instrument is ready and the psychometric evaluation is the next step in its development.

MEDICIÓN DE LOS RESULTADOS ESTÉTICOS Y FUNCIONALES DESDE LA PERSPECTIVA DEL PACIENTE EN RINOPLASTÍA: CREACIÓN DEL INSTRUMENTO NOSE-QoL

Development of a new patient-reported outcome measure for rhinoplasty suergery: the Nose-QoL Background: Instruments that assess the results of plastic surgery from patient’s perspective allow a multidimensional evaluation of surgical results. Aim: To develop a new instrument to assess the functional and esthetic results of rhinoplasty from the point of view of the patient. Material and Methods: A conceptual framework about important results for nasal image was developed using information from in depth interviews to patients, focal groups with experts and interviews to esthetic surgeons and patients subjected to rhinoplasty. Results: Four patients and four plastic surgeons were interviewed. The three sub scales identified for the con ceptual framework were quality of life, postoperative disability and pain and surgeon’s objective evaluation scale. Five domains for quality of life were identified including nose size and form, self-image and esteem, third party perceptions and social relationships, nasal function and segmental nasal analysis. Conclusions: After completion of the psychometric assessment, the Nose-QoL instrument will become a valuable instrument to measure the impact and effectiveness of rhinoplasty from the patient’s perspective.

LAS MUJERES SOMETIDAS A REDUCCIÓN MAMARIA MEJORAN SU APARIENCIA ESTÉTICA, AUTOESTIMA, SÍNTOMAS FÍSICOS Y VIDA SEXUAL

effects of breast reduction surgery on the quality life background: The results of breast reduction surgery are usually reported in terms of anthropome tric assessments. However the impact of surgery in quality of life is seldom informed. aim: To assess the effects of breast reduction surgery on the quality of life of patients. material and methods: The “Breast-Q Reduction and Mastopexy Module” was prospectively applied to all women subjected to breast reduction surgery in a University Hospital during one year. results: Twenty women answered the survey in the preoperative period and 20 in the postoperative period. The most commonly cutaneous pattern employed that the inverted T in 10 women, followed by the Wise pattern in six patients. The most commonly used pedicles were superior in 10 patients, followed by superomedial in seven patients. Mean excision weight was 923 g (range 150-2850). Mean Breast Q score improved from 45 to 65%. Satisfaction with breast appearance improved from 31 to 83%, self-esteem from 39 to 80%, sexuality from 50 to 81% and physical symptoms decreased from 48 to 16%. There was a significant association between the magnitude of ex cision and improvement in physical symptoms. conclusions: Quality of life improves notably in women after breast reduction surgery.