Abstract:
Breast sensation plays a significant role in the safety and quality of life of women who undergo mastectomy and reconstruction. In 1992, Slezak et al. introduced the concept of abdominal flap neurotization to improve sensation of the reconstructed breast. Over the next 30 years, numerous studies iterated on Slezak\'s technique, suggesting technical modifications and new methodologies for assessing sensory recovery. Despite evidence that reinnervation increases patient satisfaction following autologous breast reconstruction, abdominal flap neurotization remains a rarely performed procedure. In this article, we review the evolution of flap neurotization in breast reconstruction and describe our approach to facilitating sensory recovery of the breast while limiting donor site morbidity.
摘要:
乳房感觉在接受乳房切除术和重建的女性的安全性和生活质量中起着重要作用。1992年,Slezak等人。介绍了腹部皮瓣神经化的概念,以改善重建乳房的感觉。在接下来的30年里,大量研究迭代了Slezak\的技术,建议技术修改和评估感官恢复的新方法。尽管有证据表明,在自体乳房重建后,神经支配增加了患者的满意度,腹部皮瓣神经化仍然是一个很少执行的程序。在这篇文章中,我们回顾了皮瓣神经化在乳房重建中的演变,并描述了我们在限制供体部位发病率的同时促进乳房感觉恢复的方法。