Comparing the sensation of common donor site regions for autologous breast reconstruction to that of a healthy breast.
In: Journal of Plastic, Reconstructive & Aesthetic Surgery, Jg. 71 (2018-03-01), Heft 3, S. 327-335
Online
academicJournal
Zugriff:
Summary Introduction Autologous breast reconstruction has become the standard care for breast cancer patients. Although excellent cosmetic results can be achieved, most reconstructed breasts fail to regain normal sensation. Nerve coaptation of the flap has been suggested to improve sensation; the effect of the donor flap native sensory threshold on the degree of sensory restoration is yet to be determined. The aim of this study is to evaluate the differences in sensation between various potential donor site regions in comparison to the sensation of the healthy breast. Patients and methods A cross-sectional study in healthy women was performed in the Maastricht University Medical Centre. Monofilaments were used to measure sensation in the breast and at different flap donor sites: deep inferior epigastric perforator (DIEP), lateral thigh perforator (LTP), profunda artery perforator (PAP), superior gluteal artery perforator (SGAP) and transverse musculocutaneous gracilis (TMG) flaps. The Wilcoxon signed rank test was used to analyse statistical significance in sensation. Results Fifty women with a mean age of 49 ± 2.72 years and mean BMI of 26.14 ± 0.89 kg/m 2 were included in the study. The median monofilament value of the normal breasts was 2.97(2.56–3.55). The median monofilament value of each donor site and p value when compared to the healthy breast were as follows: DIEP flap, 2.62 (2.36–3.22) p < 0.01; LTP flap, 3.61 (2.83–4.08) p < 0.01; PAP flap, 3.09 (2.67–3.5) p = 0.97; SGAP flap, 3.22 (2.64–3.87) p = 0.01; and TMG flap, 3.03 (2.6–3.47) p = 0.69. Conclusions There is a significant difference in sensation between the various donor site regions for breast reconstruction and the healthy breast. This may be taken into consideration for donor site selection. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Plastic, Reconstructive & Aesthetic Surgery is the property of Churchill Livingstone, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Comparing the sensation of common donor site regions for autologous breast reconstruction to that of a healthy breast.
|
---|---|
Autor/in / Beteiligte Person: | Cornelissen, Anouk J.M. ; Beugels, Jop ; Lataster, Arno ; Heuts, Esther M. ; Rozen, Shai M. ; Spiegel, Aldona J. ; van der Hulst, René R.W.J. ; Tuinder, Stefania M.H. |
Link: | |
Zeitschrift: | Journal of Plastic, Reconstructive & Aesthetic Surgery, Jg. 71 (2018-03-01), Heft 3, S. 327-335 |
Veröffentlichung: | 2018 |
Medientyp: | academicJournal |
ISSN: | 1748-6815 (print) |
DOI: | 10.1016/j.bjps.2017.09.011 |
Sonstiges: |
|