Matches in SemOpenAlex for { <https://semopenalex.org/work/W4320064019> ?p ?o ?g. }
Showing items 1 to 71 of
71
with 100 items per page.
- W4320064019 endingPage "136" @default.
- W4320064019 startingPage "135" @default.
- W4320064019 abstract "BACKGROUND: Breast neurotization after implant- based reconstruction has been shown to result in similar pre- and postoperative breast and NAC sensation in 67% of patients (1). Apart from sensory recovery, breast reinnervation has great potential to avoid chronic post- mastectomy pain known as ‘post- mastectomy pain syndrome’ (PMPS), which has been shown to occur in 25-60% of women after mastectomy (2). Despite promising pilot study results, widespread adoption of neurotization of immediate implant-based reconstructions has not occurred. 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 utilizing Targeted NAC Reinnervation (TNR) with nerve fascicle split. METHODS: TNR differs from previously described reinnervation techniques in several aspects: 1) the donor axon count is maximized by preserving the 3rd to 5th lateral cutaneous nerves for anastomosis to the NAC 2) the reinnervation approach varies and is based on patient anatomy 3) the distal graft or donor nerve is split into fascicles to increase the reinnervation zone and 4) the split fascicles are coapted to dermal sensory units if free nerve endings are not available. RESULTS: Our initial sensory recovery results are promising with positive Tinel sign in all neurotized breasts at five months postoperatively. Detailed preoperative and postoperative Semmes Weinstein Filament sensory exam data will be available for PSTM 2022. CONCLUSION: Breast reinnervation following mastectomy and implant-based breast reconstruction is a new development with potential to improve sensation of the breast. Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation. REFERENCES: 1. Nerve Preservation and Allografting for Sensory Innervation Following Immediate Implant Breast Reconstruction. Plast Reconstr Surg Glob Open 2019;7:e2332 2. Chiang, D. L. C., Rice, D. A., Helsby, N. A., Somogyi, A. A., Kluger, M. T. The Prevalence, Impact, and Risk Factors for Persistent Pain After Breast Cancer Surgery in a New Zealand Population. Pain Med 2019;20:1803-1814." @default.
- W4320064019 created "2023-02-12" @default.
- W4320064019 creator A5006352815 @default.
- W4320064019 creator A5037250649 @default.
- W4320064019 creator A5048474779 @default.
- W4320064019 creator A5054829983 @default.
- W4320064019 date "2022-10-01" @default.
- W4320064019 modified "2023-10-14" @default.
- W4320064019 title "Targeted NAC Reinnervation (TNR) with Nerve Fascicle Split in Implant Based Breast Reconstruction" @default.
- W4320064019 doi "https://doi.org/10.1097/01.gox.0000899032.06680.fe" @default.
- W4320064019 hasPublicationYear "2022" @default.
- W4320064019 type Work @default.
- W4320064019 citedByCount "0" @default.
- W4320064019 crossrefType "journal-article" @default.
- W4320064019 hasAuthorship W4320064019A5006352815 @default.
- W4320064019 hasAuthorship W4320064019A5037250649 @default.
- W4320064019 hasAuthorship W4320064019A5048474779 @default.
- W4320064019 hasAuthorship W4320064019A5054829983 @default.
- W4320064019 hasBestOaLocation W43200640191 @default.
- W4320064019 hasConcept C105702510 @default.
- W4320064019 hasConcept C110537703 @default.
- W4320064019 hasConcept C121608353 @default.
- W4320064019 hasConcept C126322002 @default.
- W4320064019 hasConcept C130093455 @default.
- W4320064019 hasConcept C141071460 @default.
- W4320064019 hasConcept C169760540 @default.
- W4320064019 hasConcept C2777757722 @default.
- W4320064019 hasConcept C2779649809 @default.
- W4320064019 hasConcept C2781001896 @default.
- W4320064019 hasConcept C2781411149 @default.
- W4320064019 hasConcept C530470458 @default.
- W4320064019 hasConcept C71924100 @default.
- W4320064019 hasConcept C86803240 @default.
- W4320064019 hasConcept C94487597 @default.
- W4320064019 hasConceptScore W4320064019C105702510 @default.
- W4320064019 hasConceptScore W4320064019C110537703 @default.
- W4320064019 hasConceptScore W4320064019C121608353 @default.
- W4320064019 hasConceptScore W4320064019C126322002 @default.
- W4320064019 hasConceptScore W4320064019C130093455 @default.
- W4320064019 hasConceptScore W4320064019C141071460 @default.
- W4320064019 hasConceptScore W4320064019C169760540 @default.
- W4320064019 hasConceptScore W4320064019C2777757722 @default.
- W4320064019 hasConceptScore W4320064019C2779649809 @default.
- W4320064019 hasConceptScore W4320064019C2781001896 @default.
- W4320064019 hasConceptScore W4320064019C2781411149 @default.
- W4320064019 hasConceptScore W4320064019C530470458 @default.
- W4320064019 hasConceptScore W4320064019C71924100 @default.
- W4320064019 hasConceptScore W4320064019C86803240 @default.
- W4320064019 hasConceptScore W4320064019C94487597 @default.
- W4320064019 hasIssue "10S" @default.
- W4320064019 hasLocation W43200640191 @default.
- W4320064019 hasLocation W43200640192 @default.
- W4320064019 hasLocation W43200640193 @default.
- W4320064019 hasOpenAccess W4320064019 @default.
- W4320064019 hasPrimaryLocation W43200640191 @default.
- W4320064019 hasRelatedWork W1987585535 @default.
- W4320064019 hasRelatedWork W2035591509 @default.
- W4320064019 hasRelatedWork W2085669159 @default.
- W4320064019 hasRelatedWork W2914514538 @default.
- W4320064019 hasRelatedWork W2980389662 @default.
- W4320064019 hasRelatedWork W3001910186 @default.
- W4320064019 hasRelatedWork W4252556143 @default.
- W4320064019 hasRelatedWork W4309327868 @default.
- W4320064019 hasRelatedWork W4372228075 @default.
- W4320064019 hasRelatedWork W4375948480 @default.
- W4320064019 hasVolume "10" @default.
- W4320064019 isParatext "false" @default.
- W4320064019 isRetracted "false" @default.
- W4320064019 workType "article" @default.