Targeted Nipple Areola Complex Reinnervation: Technical Considerations and Surgical Efficiency in Implant-based Breast Reconstruction. Issue 7 (25th July 2022)

• Record Type: Journal Article
• Authors: Gfrerer, Lisa; Sager, Jessica Erdmann; Ford, Olivia Abbate; Carty, Matthew J.; Verdial, Francys C.; Gadd, Michele A.; Specht, Michelle C.; Winograd, Jonathan M.; Valerio, Ian L.
• Is Part Of: Plastic and reconstructive surgery. Volume 10:Issue 7(2022)
• Page Start: e4420
• Publication Date: 2022-07-25
• Subjects: Surgery, Plastic -- Periodicals; Surgery, Plastic -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; 617.95205
• DOI: 10.1097/GOX.0000000000004420
• Languages: English
• ISSNs: 2169-7574

Abstract

Abstract : Background: Despite promising pilot study results, adoption of neurotization of immediate implant-based reconstructions has not occurred. Methods: 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: 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: Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation.