Late Sensory Neurotization of the Nipple-Areola Complex after Implant-Based Breast Reconstruction

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Telich Tarriba Jose E.; Garza Arriaga Daniel; Lopez Garibay Alejandro; Navarro Barquin David; Cardenas Mejia Alexander

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Journal Paper

Paper Information

Journal: Archives of Breast Cancer Year:2022 | Volume:9 | Issue:2 Page(s): 247-249

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Title

Late Sensory Neurotization of the Nipple-Areola Complex after Implant-Based Breast Reconstruction

Author(s)

Keywords

Nipple areola complex

intercostal nerves

breast implants

sensory recovery

Abstract

Background: Nipple-sparing mastectomy (NSM) has become widely adopted owing to its oncologic safety, aesthetic results and psychological benefits. Lack of sensation on the Nipple-areola complex (NAC) after reconstruction remains a common complaint that has been scarcely researched in the alloplastic reconstruction population. The aim of this report is to present a nipple neurotization technique suitable for patients undergoing implant-based breast reconstruction. Case Presentation: A 42-year-old female with ductal breast carcinoma underwent periareolar NSM with implant-based reconstruction and complained about lack of tactile sensation on mastectomy flaps and NAC. A year after the reconstruction surgery, she underwent late NAC neurotization by bridging the 4th intercostal nerve to the undersurface of the areola using a 15cm sural nerve autograft. Recovery of protective and pressure sensation was seen six months later over the NAC. Conclusion: This case confirms that late neurotization in alloplastic reconstruction by bridging the areolar dermis to a donor intercostal nerve provides sensory recovery at the NAC.

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APA: Copy

Telich Tarriba, Jose E., Garza Arriaga, Daniel, Lopez Garibay, Alejandro, Navarro Barquin, David, & Cardenas Mejia, Alexander. (2022). Late Sensory Neurotization of the Nipple-Areola Complex after Implant-Based Breast Reconstruction. ARCHIVES OF BREAST CANCER, 9(2), 247-249. SID. https://sid.ir/paper/1100384/en

Vancouver: Copy

Telich Tarriba Jose E., Garza Arriaga Daniel, Lopez Garibay Alejandro, Navarro Barquin David, Cardenas Mejia Alexander. Late Sensory Neurotization of the Nipple-Areola Complex after Implant-Based Breast Reconstruction. ARCHIVES OF BREAST CANCER[Internet]. 2022;9(2):247-249. Available from: https://sid.ir/paper/1100384/en

IEEE: Copy

Jose E. Telich Tarriba, Daniel Garza Arriaga, Alejandro Lopez Garibay, David Navarro Barquin, and Alexander Cardenas Mejia, “Late Sensory Neurotization of the Nipple-Areola Complex after Implant-Based Breast Reconstruction,” ARCHIVES OF BREAST CANCER, vol. 9, no. 2, pp. 247–249, 2022, [Online]. Available: https://sid.ir/paper/1100384/en

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