Absent or diminished breast sensation is a persistent problem for many postmastectomy patients. Breast neurotization is an opportunity to improve sensory outcomes, which are poor and unpredictable if left to chance. Several techniques for autologous and implant reconstruction have been described with successful clinical and patient-reported outcomes. Neurotization is a safe procedure with minimal risk for morbidity and it presents a fantastic avenue for future research.
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http://dx.doi.org/10.1016/j.cps.2022.10.003 | DOI Listing |
J Clin Med
December 2024
Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY 10016, USA.
Implant-based breast reconstruction has been essential since the 1960s, offering a faster and less invasive alternative to autologous reconstruction. Recent innovations-including direct-to-implant (DTI) reconstruction, advancements in surgical planes, synthetic meshes, and nipple-areolar complex (NAC) neurotization-have improved patient outcomes. This review explores these developments, analyzing their impact on breast reconstruction over the past two decades.
View Article and Find Full Text PDFJ Reconstr Microsurg
November 2024
Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Background: Breast reconstruction with sensory restoration is gaining recognition as an important goal. Successful reinnervation has been shown in autologous reconstruction but not widely studied in implant-based reconstruction (IBR). This article describes our technique for nipple-areola complex (NAC) neurotization to predict maximal nerve length.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
October 2024
Division of Plastic and Reconstructive Surgery, University of Toronto, Sunnybrook Health Sciences Centre, Canada.
Background: There is currently no consensus on the efficacy of operative reinnervation at the time of post-mastectomy reconstruction. This review compares postoperative sensation between innervated and non-innervated flaps in breast reconstruction through systematic review and meta-analysis.
Methods: EMBASE, Ovid, and CENTRAL were searched from inception to December 6, 2023.
J Clin Med
September 2024
The Plastic Surgery Center, The Institute for Advanced Reconstruction, 535 Sycamore Avenue, Shrewsbury, NJ 07702, USA.
J Reconstr Microsurg
September 2024
Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.
Background: Breast anesthesia and hypoesthesia occur commonly after mastectomy and negatively impact quality of life. Neurotization during deep inferior epigastric perforator (DIEP) breast reconstruction offers enhanced sensory recovery. However, access to neurotization for DIEP reconstruction patients has not been evaluated.
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