Intercostal nerve block of the anterior cutaneous branches and the sensibility of the female breast
| Autor: | Stefania Tuinder, Ennie Bijkerk, Micha Sommer, Anouk J. M. Cornelissen, René R. W. J. van der Hulst, Arno Lataster |
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| Přispěvatelé: | RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Plastische Chirurgie (PLC), MUMC+: MA AIOS Heelkunde (9), MUMC+: MA Anesthesiologie (9), MUMC+: MA Plastische Chirurgie (3), MUMC+: MA Plastische Chirurgie (9), MUMC+: CONC Poli Plast Chirurgie (9), MUMC+: MA AIOS Plastische Chirurgie (9), Anatomie & Embryologie |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Histology SATISFACTION Mammaplasty Sensation Sensory system Intercostal nerves nipple-areola complex 03 medical and health sciences 0302 clinical medicine breast cancer QUALITY-OF-LIFE medicine breast reconstruction Humans Breast Areola INNERVATION 0303 health sciences Original Communication intercostal nerve business.industry PNEUMOTHORAX PROPHYLACTIC MASTECTOMY Nerve plexus Nerve Block 030206 dentistry General Medicine Anatomy Healthy Volunteers REDUCTION medicine.anatomical_structure 030301 anatomy & morphology Original Communications nipple‐areola complex Female Intercostal Nerves Breast reconstruction business Intercostal nerve block Sensory nerve |
| Zdroj: | Clinical Anatomy (New York, N.y.) Clinical Anatomy, 33(7), 1025-1032. Wiley |
| ISSN: | 1098-2353 0897-3806 |
| Popis: | Introduction Better sensation in the reconstructed breast improves the quality of life. Sensory nerve coaptation is a valuable addition to autologous breast reconstruction. There are few publications concerning the sensory nerves of the breast and the nipple‐areola complex and reports are contradictory, so it is unknown which nerve is best suited as a recipient for coaptation. The current study serves as a proof of concept. Materials and Methods The areas innervated by the anterior cutaneous branches (ACBs) of the intercostal nerves (ICNs) were studied on two separate occasions in two healthy women. First, the ACBs of ICNs 2–5 were individually blocked using ultrasound. Next, the ACBs of all levels were blocked simultaneously. Sensation was measured using Semmes‐Weinstein monofilaments. The numbed areas corresponding to the ICNs were drawn in a raster of 2 × 2 cm. Results The largest area was supplied by the ACB of the 4th ICN, located in the upper (UIQ) and the lower (LIQ) inner quadrants of the breast. The 2nd‐largest area was supplied by the ACB of the 3rd ICN. Blockage of ACBs 2–5 affected sensation in the nipple and the areola. Conclusions Blockage of all levels 2–5 partially affected sensation in the nipple‐areola complex, suggesting innervation by a nerve plexus consisting of both ACBs and lateral cutaneous branches (LCBs). ACB4 supplied the largest area of the breast in the UIQ and LIQ and could be best suited for sensory nerve coaptation to optimize sensation in the autologously reconstructed breast. |
| Databáze: | OpenAIRE |
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