Targeted Nipple Areola Complex Reinnervation: Technical Considerations and Surgical Efficiency in Implant-based Breast Reconstruction.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 10 03 2022
accepted: 11 05 2022
entrez: 4 8 2022
pubmed: 5 8 2022
medline: 5 8 2022
Statut: epublish

Résumé

Despite promising pilot study results, adoption of neurotization of immediate implant-based reconstructions has not occurred. For surgeons interested in adopting breast reinnervation techniques, we present ways to overcome initial barriers by decreasing operative time and maximizing chances of sensory recovery. We discuss the combined experience at two academic teaching hospitals, where neurotization of both immediate tissue expander cases and direct-to-implant reconstructions are performed through varying mastectomy incisions. Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation.

Sections du résumé

Background UNASSIGNED
Despite promising pilot study results, adoption of neurotization of immediate implant-based reconstructions has not occurred.
Methods UNASSIGNED
For surgeons interested in adopting breast reinnervation techniques, we present ways to overcome initial barriers by decreasing operative time and maximizing chances of sensory recovery.
Results UNASSIGNED
We discuss the combined experience at two academic teaching hospitals, where neurotization of both immediate tissue expander cases and direct-to-implant reconstructions are performed through varying mastectomy incisions.
Conclusion UNASSIGNED
Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation.

Identifiants

pubmed: 35923997
doi: 10.1097/GOX.0000000000004420
pmc: PMC9325332
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e4420

Informations de copyright

Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

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Auteurs

Lisa Gfrerer (L)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Jessica Erdmann Sager (JE)

Division of Plastic and Reconstructive Surgery, Brigham and Womens Hospital, Harvard Medical School, Boston, Mass.

Olivia Abbate Ford (OA)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Division of Plastic and Reconstructive Surgery, Brigham and Womens Hospital, Harvard Medical School, Boston, Mass.

Matthew J Carty (MJ)

Division of Plastic and Reconstructive Surgery, Brigham and Womens Hospital, Harvard Medical School, Boston, Mass.

Francys C Verdial (FC)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Michele A Gadd (MA)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Michelle C Specht (MC)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Jonathan M Winograd (JM)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Ian L Valerio (IL)

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Classifications MeSH