靶向乳头乳晕复合体再支配：基于植入物的乳房重建中的技术考量与手术效率
Targeted Nipple Areola Complex Reinnervation: Technical Considerations and Surgical Efficiency in Implant-based Breast Reconstruction.
作者信息
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
机构信息
Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Division of Plastic and Reconstructive Surgery, Brigham and Womens Hospital, Harvard Medical School, Boston, Mass.
出版信息
Plast Reconstr Surg Glob Open. 2022 Jul 25;10(7):e4420. doi: 10.1097/GOX.0000000000004420. eCollection 2022 Jul.
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.
背景
尽管初步研究结果令人鼓舞，但基于即刻植入物重建的神经化技术尚未得到广泛应用。
方法
对于有兴趣采用乳房再神经化技术的外科医生，我们介绍了通过减少手术时间和最大化感觉恢复机会来克服初始障碍的方法。
结果
我们讨论了两家学术教学医院的综合经验，在那里，通过不同的乳房切除术切口对即刻组织扩张器病例和直接植入式重建进行神经化。
结论
可以通过缩短手术时间和提供个性化的再神经化方法来克服初始障碍，该方法旨在增加有意义感觉的机会。
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