Evaluation of the adhesive prosthesis “silima direct” by mastectomyzed patients in france
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Objective: Breast cancer is the most prevalent malignant disease in women. The loss of a breast is a highly traumatizing event for the woman; thus, surgical or non-surgical methods of reconstruction can improve quality of life. In the present study, we aimed to assess patient satisfaction with two different models of adhesive external breast prosthesis and to compare them with the previously worn models. Materials and Methods: A questionnaire was mailed to 240 women using one of the two prosthesis models. 154 questionnaires were returned, 41 of which were not eligible for evaluation. Most items were rated on a verbal scale (VRS). Results: After a prosthesis-free period of about 4.5 years, the women wore both models of the “Silima direct” for almost 2 years. The assessment of both models was mainly positive. The average VRS scores were just above 2 out of 5 points, which corresponds to a “good” rating. The lighter model scored better results. Of the patients, 73.6% were overall at least “satisfied” with the lighter model as compared to 58.3% with the model of normal weight. In comparison with the Amoena adhesive epithesis and other prosthesis models worn previously, the “Silima direct” and particularly the light model was perceived to be better in almost all criteria. Conclusion: External adhesive breast prostheses are a valuable method of post-mastectomy rehabilitation, which improves quality of life.