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

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.

SUBMITTER: Gfrerer L

PROVIDER: S-EPMC9325332 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

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

Gfrerer Lisa L Sager Jessica Erdmann JE Ford Olivia Abbate OA Carty Matthew J MJ Verdial Francys C FC Gadd Michele A MA Specht Michelle C MC Winograd Jonathan M JM Valerio Ian L IL

Plastic and reconstructive surgery. Global open 20220725 7

<h4>Background</h4>Despite promising pilot study results, adoption of neurotization of immediate implant-based reconstructions has not occurred.<h4>Methods</h4>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.<h4>Results</h4>We discuss the combined experience at two academic teaching hospitals, where neurotization of both immediate tissue expander cases and dir ...[more]

PMID: 35923997

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