Sensory Recovery of the Breast following Innervated and Noninnervated DIEP Flap Breast Reconstruction
| Autor: | Aldona J. Spiegel, Anouk J. M. Cornelissen, Jop Beugels, Sander M. J. van Kuijk, René R. W. J. van der Hulst, Esther M. Heuts, Stefania Tuinder, Andrzej Piatkowski, Arno Lataster |
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| Přispěvatelé: | Plastische Chirurgie (PLC), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, MUMC+: MA AIOS Heelkunde (9), Promovendi ODB, MUMC+: KIO Kemta (9), Epidemiologie, RS: CAPHRI - R2 - Creating Value-Based Health Care, Anatomie & Embryologie, Surgery, MUMC+: MA Heelkunde (9), MUMC+: MA Plastische Chirurgie (3), MUMC+: MA Plastische Chirurgie (9) |
| Rok vydání: | 2019 |
| Předmět: |
SENSIBILITY
medicine.medical_specialty TRAM FLAP medicine.medical_treatment Sensory system 030230 surgery Preoperative care 03 medical and health sciences 0302 clinical medicine QUALITY-OF-LIFE DIEP flap medicine Surgical Flaps Prospective cohort study NIPPLE-AREOLA COMPLEX business.industry INFERIOR EPIGASTRIC PERFORATOR Surgery Transplantation 030220 oncology & carcinogenesis Mammaplasty INJURIES NEUROTIZATION Breast reconstruction business NERVE REPAIR |
| Zdroj: | Plastic and Reconstructive Surgery, 144(2), 178E-188E. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/prs.0000000000005802 |
| Popis: | Background: The sensory recovery of the breast remains an undervalued aspect of autologous breast reconstruction. The aim of this study was to evaluate the effect of nerve coaptation on the sensory recovery of the breast following DIEP flap breast reconstruction and to assess the associations of length of follow-up and timing of the reconstruction.Methods: A prospective comparative study was conducted of all patients who underwent either innervated or noninnervated DIEP flap breast reconstruction and returned for follow-up between September of 2015 and July of 2017. Nerve coaptation was performed to the anterior cutaneous branch of the third intercostal nerve. Semmes-Weinstein monofilaments were used for sensory testing of the native skin and flap skin.Results: A total of 48 innervated DIEP flaps in 36 patients and 61 noninnervated DIEP flaps in 45 patients were tested at different follow-up time points. Nerve coaptation was significantly associated with lower monofilament values in all areas of the reconstructed breast (adjusted difference, -1.2; p Conclusions: This study demonstrated that nerve coaptation in DIEP flap breast reconstruction is associated with a significantly better sensory recovery in all areas of the reconstructed breast compared with noninnervated flaps. The length of follow-up was significantly associated with the sensory recovery. |
| Databáze: | OpenAIRE |
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