横行腓肠肌皮瓣(TMGP)是一种适用于乳房重建的可行且安全的选择，适用于腹部组织有限或其他禁忌证不适合腹部基础瓣的患者。尽管它是最常用的乳房重建瓣片之一，但关于患者报告的结果的数据有限。本研究旨在评估TMGP皮瓣乳房重建后的患者满意度和美容结果。我们确定了2010年3月至2020年10月间接受TMGP皮瓣乳房重建的所有患者。向105名患者发送了BREAST-Q重建模块和下肢功能量表(LEFS)的数字版本邀请。收集和回顾性分析了患者的人口统计学资料、并发症和手术细节。计算并与文献进行了BREAST-Q和LEFS评分的比较。82名患者参与了本研究。中位随访时间为5.9年，中位患者年龄为45.7岁。大多数患者(90.2%)接受治疗是因乳腺癌，17.1%进行了即时重建。"对乳房满意度"的平均得分为66/100。术后下肢功能较高，LEFS平均得分为78/80。LEFS得分低于中位数与主动吸烟显著相关(p=0.049)。患者还报告了对供体部位的高满意度(8/11)。乳房重建术后患者的满意度和美容结果较高，与其他常见技术相当。皮瓣获取后下肢功能不受损害。 © 2023 作者。由牛津大学出版社代表美容学会出版。保留所有权利。欲获得许可，请发送电子邮件至：journals.permissions@oup.com。

The Transverse Myocutaneous Gracilis (TMG) flap is a viable and safe option for breast reconstruction in patients with limited abdominal tissue or other contraindications for abdominal based flaps. Although it is one of the most commonly used flaps for breast reconstruction, data on patient reported outcome is limited.The authors seek to evaluate patient satisfaction and aesthetic outcome after breast reconstruction with the TMG flap.All patients who underwent breast reconstruction with a TMG flap between March 2010 and October 2020 were identified. Invitation to a digital version of the BREAST-Q reconstructive module and the Lower Extremity Function Scale (LEFS) was sent to 105 patients. Patient demographics, complications and surgical details were collected and retrospectively analyzed. BREAST-Q and LEFS scores were calculated and compared to the literature.Eighty-two patients participated in the study. Median follow-up was 5.9 years with a median patient age of 45.7 years. Most patients (90.2 percent) received treatment due to previous cancer of the breast and 17.1 percent underwent immediate reconstruction. The mean score for "Satisfaction with Breast" was 66/100. Postoperative lower extremity function was high with a mean LEFS score of 78/80. A LEFS score below median value was found to be significantly associated with active smoking (p=0.049). Patients also reported high satisfaction with donor-sites (8/11).Patient satisfaction and aesthetic outcome after breast reconstruction with TMG flaps is high and comparable to other common techniques. Lower extremity function is not impaired after flap harvest.© The Author(s) 2023. Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.