The Effects of the COVID-19 Mask Mandate on Complication Rates in Postmastectomy Tissue Expansion.


Journal

Annals of plastic surgery
ISSN: 1536-3708
Titre abrégé: Ann Plast Surg
Pays: United States
ID NLM: 7805336

Informations de publication

Date de publication:
01 Oct 2024
Historique:
medline: 2 10 2024
pubmed: 2 10 2024
entrez: 2 10 2024
Statut: aheadofprint

Résumé

Tissue expansion is a commonly used breast reconstructive strategy. Although the procedure is regarded as safe, tissue expander to implant-based breast reconstruction is reported to have the highest rates of postoperative infection among plastic surgery operations. During the COVID-19 pandemic, face masks were required at all hospital facilities at our institution. The purpose of this study is to investigate the effects of COVID-19 mask mandate on in-office breast tissue expansion procedures. An institutional review board-approved, retrospective review was completed on all patients who underwent unilateral or bilateral tissue expansion following mastectomy at a single institution in 2017 (prior to the COVID-19 mask mandate) and 2021 (following implementation of the mandate). Variables included were demographics, procedure information, and postoperative outcomes. The analysis included 118 patients in the premandate group and 147 patients in the postmandate group. There was no difference in age, body mass index, smoking status, or diabetes mellitus between the 2 groups (P > 0.05). More patients in the postmandate group underwent bilateral reconstruction as opposed to unilateral when compared with the premandate group (70.7% vs 55.9%, P = 0.014). There were no differences in major complication rate (26.3% vs 30.6%, P = 0.495) or minor complication rate 30.5% vs 26.5%, P = 0.495) between the pre-mask and post-mask mandate groups. Our results demonstrated that the use of face masks did not play a significant role in complication rates relating to in-office tissue expansion procedures. It remains up to the discretion and comfortability of the provider if masks should be worn during the procedure.

Identifiants

pubmed: 39356175
doi: 10.1097/SAP.0000000000004109
pii: 00000637-990000000-00560
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

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Auteurs

Ann Carol Braswell (AC)

From the Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.

Madeline Bald (M)

From the Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.

Gabriela Fonseca (G)

From the Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.

Edgar Soto (E)

Department of Plastic Surgery, Johns Hopkins, Baltimore, MD.

Hua Amanda Fang (HA)

Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL.

Prasanth Patcha (P)

Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL.

Classifications MeSH