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RESULTS: The proximal leg was used in 12 cases and the distal leg in 31 cases. There was no difference in patient demographics between the two groups. At three months the circumferential reduction rate was improved at the below knee and above ankle level in the distal placement group (p=0.01 and p=0.01), but improved in the proximal leg in the proximal placement group (p=0.01). At one year post operatively there was equal improvement in the above knee region (p=0.04) but there was significantly higher improvement in the distally placed group in the below knee, above ankle, and overall measurements (p=0.01, p=0.01, p=0.01 respectively). Lymphedema grade was improved in both groups but significantly more in the distally placed group. Episodes of cellulitis were reduced globally.

plastic and reconstructive surgery. global open

Abstract: The Submental Versus Groin Vascularized Lymph Node Transfer Flaps: A Head-to-Head Comparison of Surgical Outcomes for Breast Cancer Related Lymphedema