Collaboration between the breast and plastic surgeon in restoring sensation after mastectomy.
mastectomy
reconstruction
sensate reconstruction
Journal
The breast journal
ISSN: 1524-4741
Titre abrégé: Breast J
Pays: United States
ID NLM: 9505539
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
30
04
2019
accepted:
02
05
2019
pubmed:
3
7
2019
medline:
9
4
2020
entrez:
3
7
2019
Statut:
ppublish
Résumé
Breast cancer is the most commonly diagnosed invasive cancer in women worldwide. While hypoesthesia is a known sequela after mastectomy, patients are now inquiring with renewed interest about the degree and timing of sensation after mastectomy. This is a topic that has generated much research interest. However, while there have been advances in the field, there are few, well-done studies that allow for an accurate answer to this question. In this article, relevant breast and donor site anatomy is reviewed for sensate autologous breast reconstruction. Additional donor sites apart from the typically utilized abdomen are analyzed with relevant anatomical discussions. Outcomes are presented; however, due to the heterogeneity of the patient population, surgical approach and postoperative sensory testing, it is difficult to compare results between studies. Future directions and unanswered questions regarding sensate autologous breast reconstruction are highlighted. While great strides have been made in providing sensate autologous breast reconstruction, there are still many unanswered questions. Thus, the collaboration between surgical teams and sharing of outcomes is crucial to allow for optimization of this powerful surgical approach.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1187-1191Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
McGuire A, Brown J, Malone C, McLaughlin R, Kerin M. Effects of age on the detection and management of breast cancer. Cancers (Basel). 2015;7(2):908-929.
Sarhadi NS, Dunn JS, Lee FD, Soutar DS. An anatomical study of the nerve supply of the breast, including the nipple and areola. Br J Plast Surg. 1996;49(3):156-164.
Schlenz I, Kuzbari R, Gruber H, Holle J. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. 2000;105(3):905-909.
Tairych GV, Kuzbari R, Rigel S, Todoroff BP, Schneider B, Deutinger M. Normal cutaneous sensibility of the breast. Plast Reconstr Surg. 1998;102(3):701-704.
Harbo SO, Jorum E, Roald HE. Reduction mammaplasty: a prospective study of symptom relief and alterations of skin sensibility. Plast Reconstr Surg. 2003;111(1):103-110. discussion 111-2.
Frost MH, Schaid DJ, Sellers TA, et al. Long-term satisfaction and psychological and social function following bilateral prophylactic mastectomy. JAMA. 2000;284(3):319-324.
Pitanguy I, Vaena M, Radwanski HN, Nunes D, Vargas AF. Relative implant volume and sensibility alterations after breast augmentation. Aesthetic Plast Surg. 2007;31(3):238-243.
Craig RD, Sykes PA. Nipple sensitivity following reduction mammaplasty. Br J Plast Surg. 1970;23(2):165-172.
Kuzbari R, Schlenz I. Reduction mammaplasty and sensitivity of the nipple-areola complex: sensuality versus sexuality? Ann Plast Surg. 2007;58(1):3-11.
Temple CL, Hurst LN. Reduction mammaplasty improves breast sensibility. Plast Reconstr Surg. 1999;104(1):72-76.
Mahajan AL, Chapman TWL, Mandalia MR, Morris RJ. Sun burn as a consequence of resting reading glasses on a reconstructed breast. J Plast Reconstr Aesthet Surg. 2010;63(2):e170.
Kay AR, McGeorge D. Susceptibility of the insensate reconstructed breast to burn injury. Plast Reconstr Surg. 1997;99(3):927.
Gowaily K, Ellabban MG, Iqbal A, Kat CC. Hot water bottle burn to reconstructed breast. Burns. 2004;30(8):873-874.
Nahabedian MY, McGibbon BM. Thermal injuries in autogenous tissue breast reconstruction. Br J Plast Surg. 1998;51(8):599-602.
Enajat M, Rozen WM, Audolfsson T, Acosta R. Thermal injuries in the insensate deep inferior epigastric artery perforator flap: case series and literature review on mechanisms of injury. Microsurgery. 2009;29(3):214-217.
Temple CLF, Ross DC, Kim S, et al. Sensibility following innervated free TRAM flap for breast reconstruction: Part II. Innervation improves patient-rated quality of life. Plast Reconstr Surg. 2009;124(5):1419-1425.
Dossett LA, Lowe J, Sun W, et al. Prospective evaluation of skin and nipple-areola sensation and patient satisfaction after nipple-sparing mastectomy. J Surg Oncol. 2016;114(1):11-16.
Weissler JM, Koltz PF, Carney MJ, Serletti JM, Wu LC. Sifting through the evidence: a comprehensive review and analysis of neurotization in breast reconstruction. Plast Reconstr Surg. 2018;141(3):550-565.
Beugels J, Cornelissen A, Spiegel AJ, et al. Sensory recovery of the breast after innervated and non-innervated autologous breast reconstructions: a systematic review. J Plast Reconstr Aesthet Surg. 2017;70(9):1229-1241.
Yap LH, Stevenson JH, Whiten SC, Forster A. The anatomical and neurophysiological basis of the sensate free TRAM and DIEP flaps. Br J Plast Surg. 2002;55(1):35-45.
Tansatit T, Chokrungvaranont P, Sanguansit P, Wanidchaphloi S. Neurovascular anatomy of the deep inferior epigastric perforator flap for breast reconstruction. J Med Assoc Thai. 2006;89(10):1630-1640.
Rozen WM, Ashton MW, Murray ACA, Taylor GI. Avoiding denervation of rectus abdominis in DIEP flap harvest: the importance of medial row perforators. Plast Reconstr Surg. 2008;122(3):710-716.
Stecco C, Azzena GP, Macchi V, et al. Rectus abdominis muscle innervation: an anatomical study with surgical implications in diep flap harvesting. Surg Radiol Anat. 2018;40(8):865-872.
Knackstedt R, Gatherwright J, Cakmakoglu C, Djohan M, Djohan R. Predictable location of breast sensory nerves for breast reinnervation. Plast Reconstr Surg. 2019;143(2):393-396.
Spiegel AJ, Menn ZK, Eldor L, Kaufman Y, Dellon AL. Breast reinnervation: DIEP neurotization using the third anterior intercostal nerve. Plast Reconstr Surg Glob Open. 2013;1(8):e72.
Blondeel PN, Demuynck M, Mete D, et al. Sensory nerve repair in perforator flaps for autologous breast reconstruction: sensational or senseless? Br J Plast Surg. 1999;52(1):37-44.
Magarakis M, Venkat R, Dellon AL, et al. Pilot study of breast sensation after breast reconstruction: evaluating the effects of radiation therapy and perforator flap neurotization on sensory recovery. Microsurgery. 2013;33(6):421-431.
Slezak S, McGibbon B, Dellon AL. The sensational transverse rectus abdominis musculocutaneous (TRAM) flap: return of sensibility after TRAM breast reconstruction. Ann Plast Surg. 1992;28(3):210-217.
Doncatto LF. Breast reconstruction with prefabricated transverse rectus abdominis muscle flap in the postabdominoplasty patient. Plast Reconstr Surg. 2003;111(1):306-313.
Yano K, Matsuo Y, Hosokawa K. Breast reconstruction by means of innervated rectus abdominis myocutaneous flap. Plast Reconstr Surg. 1998;102(5):1452-1460.
Isenberg JS. Sense and sensibility: breast reconstruction with innervated TRAM flaps. J Reconstr Microsurg. 2002;18(1):23-28.
Puonti HK, Jääskeläinen SK, Hallikainen HK, Partanen TA. Improved sensory recovery with a novel dual neurorrhaphy technique for breast reconstruction with free muscle sparing TRAM flap technique. Microsurgery. 2017;37(1):21-28.
Temple CLF, Tse R, Bettger-Hahn M, MacDermid J, Gan BS, Ross DC. Sensibility following innervated free TRAM flap for breast reconstruction. Plast Reconstr Surg. 2006;117(7):2119-2127; discussion 2128-30.
Isenberg JS, Spinelli H. Further experience with innervated autologous flaps in postoncologic breast reconstruction. Ann Plast Surg. 2004;52(5):448-451; discussion 451.
Doncatto L, Hochberg J, Caleffi M. Breast reconstruction with sensitive TRAM flap reinnervation. Breast. 1997;3:345-349.
Yap LH, Whiten SC, Forster A, Stevenson HJ. Sensory recovery in the sensate free transverse rectus abdominis myocutaneous flap. Plast Reconstr Surg. 2005;115(5):1280-1288.
Puonti HK, Jääskeläinen SK, Hallikainen HK, Partanen TA. A new approach to microneurovascular TRAM-flap breast reconstruction-a pilot study. J Plast Reconstr Aesthet Surg. 2011;64(3):346-352.
Mori H, Okazaki M. Is the sensitivity of skin-sparing mastectomy or nipple-sparing mastectomy superior to conventional mastectomy with innervated flap? Microsurgery. 2011;31(6):428-433.
Butler PD, Wu LC. Abdominal perforator vs. muscle sparing flaps for breast reconstruction. Gland Surg. 2015;4(3):212-221.
Murphy BD, Kerrebijn I, Farhadi J, Masia J, Hofer SOP. Indications and controversies for abdominally-based complete autologous tissue breast reconstruction. Clin Plast Surg. 2018;45(1):83-91.
Opsomer D, van Landuyt K. Indications and controversies for nonabdominally-based complete autologous tissue breast reconstruction. Clin Plast Surg. 2018;45(1):93-100.
Yano K, Hosokawa KO, Takagi S, Nakai K, Kubo T. Breast reconstruction using the sensate latissimus dorsi musculocutaneous flap. Plast Reconstr Surg. 2002;109(6):1897-1902.
Blondeel PN. The sensate free superior gluteal artery perforator (S-GAP) flap: a valuable alternative in autologous breast reconstruction. Br J Plast Surg. 1999;52(3):185-193.
Struckmann V, Peek A, Wingenbach O, Harhaus L, Kneser U, Holle G. The free fasciocutaneous infragluteal (FCI) flap: outcome and patient satisfaction after 142 breast reconstructions. J Plast Reconstr Aesthet Surg. 2016;69(4):461-469.
Ribuffo D, Cigna E, Gargano F, Spalvieri C, Scuderi N. The innervated anterolateral thigh flap: anatomical study and clinical implications. Plast Reconstr Surg. 2005;115(2):464-470.
Scaglioni MF, Franchi A, Giovanoli P. Pedicled chimeric sensitive fasciocutaneous anterolateral thigh (ALT) and vastus lateralis muscle (VLM) flap for groin defect reconstruction: a case report. Microsurgery. 2018;38(4):423-426.
Torres-Ortiz Zermeno CA, Lopez Mendoza J. Aesthetic and functional outcomes of the innervated and thinned anterolateral thigh flap in reconstruction of upper limb defects. Plast Surg Int. 2014;2014:489012.
Xie S, Deng X, Chen Y, et al. Reconstruction of foot and ankle defects with a superthin innervated anterolateral thigh perforator flap. J Plast Surg Hand Surg. 2016;50(6):367-374.
Yu P. Reinnervated anterolateral thigh flap for tongue reconstruction. Head Neck. 2004;26(12):1038-1044.
Yu P, Robb GL. Reconstruction for total and near-total glossectomy defects. Clin Plast Surg. 2005;32(3):411-419, vii.
Longo B, Pagnoni M, Ferri G, Morello R, Santanelli F. The mushroom-shaped anterolateral thigh perforator flap for subtotal tongue reconstruction. Plast Reconstr Surg. 2013;132(3):656-665.
Kimata Y, Uchiyama K, Ebihara S, et al. Comparison of innervated and noninnervated free flaps in oral reconstruction. Plast Reconstr Surg. 1999;104(5):1307-1313.
Cheng N, Shou B, Zheng M, Huang A. Microneurovascular transfer of the tensor fascia lata musculocutaneous flap for reconstruction of the tongue. Ann Plast Surg. 1994;33(2):136-141.
Posma AN. The innervated tensor fasciae latae flap in patients with meningomyelocele. Ann Plast Surg. 1988;21(6):594-596.
Cornelissen AJM, Beugels J, Lataster A, et al. Comparing the sensation of common donor site regions for autologous breast reconstruction to that of a healthy breast. J Plast Reconstr Aesthet Surg. 2018;71(3):327-335.
Knackstedt R, Djohan R, Gatherwright J. Anatomic location of a sensory nerve to the lateral thigh flap: a novel option for sensate autologous tissue reconstruction. J Plast Reconstr Aesthet Surg. 2019;72(3):513-527.
Gatherwright J, Knackstedt R, Kurlander D, Djohan R. Anatomic location of a sensory nerve to the transverse upper gracilis (TUG) flap: a novel option for sensate autologous tissue reconstruction. J Plast Reconstr Aesthet Surg. 2019;72(1):137-171.
Lundborg G. Brain plasticity and hand surgery: an overview. J Hand Surg Br. 2000;25(3):242-252.
Rosen B, Lundborg G. Enhanced sensory recovery after median nerve repair using cortical audio-tactile interaction. A randomised multicentre study. J Hand Surg Eur. 2007;32(1):31-37.
Anastakis DJ, Malessy MJA, Chen R, Davis KD, Mikulis D. Cortical plasticity following nerve transfer in the upper extremity. Hand Clin. 2008;24(4):425-444, vi-vii.
Davis KD, Taylor KS, Anastakis DJ. Nerve injury triggers changes in the brain. Neuroscientist. 2011;17(4):407-422.
Merzenich MM, Jenkins WM. Reorganization of cortical representations of the hand following alterations of skin inputs induced by nerve injury, skin island transfers, and experience. J Hand Ther. 1993;6(2):89-104.
Silva AC, Rasey SK, Wu X, Wall JT. Initial cortical reactions to injury of the median and radial nerves to the hands of adult primates. J Comp Neurol. 1996;366(4):700-716.