Breast sensibility in bilateral autologous breast reconstruction with unilateral sensory nerve coaptation
Background Patient satisfaction after breast reconstruction is dependent on both esthetics and functional outcomes. In an attempt to improve breast sensibility, a sensory nerve coaptation can be performed. The aim of this study was to objectify the sensory recovery in patients who, by chance, underw...
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| Veröffentlicht in: | Breast cancer research and treatment 2020-06, Vol.181 (3), p.599-610 |
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| creator | Bijkerk, Ennie van Kuijk, Sander M. J. Lataster, Arno van der Hulst, René R. W. J. Tuinder, Stefania M. H. |
| description | Background
Patient satisfaction after breast reconstruction is dependent on both esthetics and functional outcomes. In an attempt to improve breast sensibility, a sensory nerve coaptation can be performed. The aim of this study was to objectify the sensory recovery in patients who, by chance, underwent bilateral autologous breast reconstruction with one innervated and one non-innervated flap. It must be emphasized that the intention was to coaptate the sensory nerves on both sides.
Methods
The cohort study was carried out in the Maastricht University Medical Center between August 2016 and August 2018. Patients were eligible if they underwent bilateral non-complex, autologous breast reconstruction with unilateral sensory nerve coaptation and underwent sensory measurements using Semmes–Weinstein monofilaments at 12 months of follow-up. Sensory outcomes were compared using
t
tests.
Results
A total of 15 patients were included, all contributing one innervated and one non-innervated flap. All patients had a follow-up of at least 12 months, but were measured at different follow-up points with a mean follow-up of 19 months. Sensory nerve coaptation was significantly associated with better sensation in the innervated breasts and showed better sensory recovery over time, compared to non-innervated breasts. Moreover, the protective sensation of the skin can be restored by sensory nerve coaptation.
Conclusions
The study demonstrated that sensory nerve coaptation leads to better sensation in the autologous reconstructed breast in patients who underwent bilateral breast reconstruction and, by chance, received unilateral sensory nerve coaptation. |
| doi_str_mv | 10.1007/s10549-020-05645-y |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7220889</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A623827722</galeid><sourcerecordid>A623827722</sourcerecordid><originalsourceid>FETCH-LOGICAL-c572t-1e936b48d9deaa98541e5293839fdd63223eb6ebc6f2b1a5686dd5af2dced0fe3</originalsourceid><addsrcrecordid>eNp9kl1rFDEYhQdR7Lb6B7yQAUF6M_VNMskkN0ItfkHBG70OmZl3dlNmkzXJtMy_N-PWbVdEcpGQPOckOZyieEXgggA07yIBXqsKKFTARc2r-UmxIrxhVUNJ87RYARFNJSSIk-I0xhsAUA2o58UJo6wWkqhVYT8ENDGVEV20rR1tmkvryrwyCYMZSzMlP_q1n2LZ7tGAnXcxhalL1rvyzqZNObmDYHHyYS4dhlssO292ySzgi-LZYMaIL-_ns-LHp4_fr75U198-f726vK463tBUEVRMtLXsVY_GKMlrgpwqJpka-l4wShm2AttODLQlhgsp-p6bgfYd9jAgOyve7313U7vFvOtSfpbeBbs1YdbeWH184uxGr_2tbigFKVU2OL83CP7nhDHprY0djqNxmGPQlCnBgHFY0Dd_oTd-Ci5_T9MaKOVQS3ig1mZEbd3g873dYqovBWWSNvnqTF38g8qjx63NieNg8_6R4O0jwQbNmDbRj9MSdjwG6R7sgo8x4HAIg4BemqT3TdK5Sfp3k_ScRa8fx3iQ_KlOBtgeiPnIrTE8_P0_tr8AzeTWlA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2402250480</pqid></control><display><type>article</type><title>Breast sensibility in bilateral autologous breast reconstruction with unilateral sensory nerve coaptation</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Bijkerk, Ennie ; van Kuijk, Sander M. J. ; Lataster, Arno ; van der Hulst, René R. W. J. ; Tuinder, Stefania M. H.</creator><creatorcontrib>Bijkerk, Ennie ; van Kuijk, Sander M. J. ; Lataster, Arno ; van der Hulst, René R. W. J. ; Tuinder, Stefania M. H.</creatorcontrib><description>Background
Patient satisfaction after breast reconstruction is dependent on both esthetics and functional outcomes. In an attempt to improve breast sensibility, a sensory nerve coaptation can be performed. The aim of this study was to objectify the sensory recovery in patients who, by chance, underwent bilateral autologous breast reconstruction with one innervated and one non-innervated flap. It must be emphasized that the intention was to coaptate the sensory nerves on both sides.
Methods
The cohort study was carried out in the Maastricht University Medical Center between August 2016 and August 2018. Patients were eligible if they underwent bilateral non-complex, autologous breast reconstruction with unilateral sensory nerve coaptation and underwent sensory measurements using Semmes–Weinstein monofilaments at 12 months of follow-up. Sensory outcomes were compared using
t
tests.
Results
A total of 15 patients were included, all contributing one innervated and one non-innervated flap. All patients had a follow-up of at least 12 months, but were measured at different follow-up points with a mean follow-up of 19 months. Sensory nerve coaptation was significantly associated with better sensation in the innervated breasts and showed better sensory recovery over time, compared to non-innervated breasts. Moreover, the protective sensation of the skin can be restored by sensory nerve coaptation.
Conclusions
The study demonstrated that sensory nerve coaptation leads to better sensation in the autologous reconstructed breast in patients who underwent bilateral breast reconstruction and, by chance, received unilateral sensory nerve coaptation.</description><identifier>ISSN: 0167-6806</identifier><identifier>ISSN: 1573-7217</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-020-05645-y</identifier><identifier>PMID: 32346819</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Breast ; Breast - innervation ; Breast cancer ; Breast Neoplasms - pathology ; Breast Neoplasms - surgery ; Breasts ; Cancer research ; Clinical Trial ; Female ; Follow-Up Studies ; Humans ; Mammaplasty ; Mammaplasty - methods ; Mastectomy ; Medical centers ; Medicine ; Medicine & Public Health ; Middle Aged ; Oncology ; Patient satisfaction ; Prognosis ; Prospective Studies ; Recovery of Function ; Retrospective Studies ; Sensation - physiology ; Sensory neurons ; Surgical Flaps - innervation</subject><ispartof>Breast cancer research and treatment, 2020-06, Vol.181 (3), p.599-610</ispartof><rights>The Author(s) 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c572t-1e936b48d9deaa98541e5293839fdd63223eb6ebc6f2b1a5686dd5af2dced0fe3</citedby><cites>FETCH-LOGICAL-c572t-1e936b48d9deaa98541e5293839fdd63223eb6ebc6f2b1a5686dd5af2dced0fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10549-020-05645-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10549-020-05645-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32346819$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bijkerk, Ennie</creatorcontrib><creatorcontrib>van Kuijk, Sander M. J.</creatorcontrib><creatorcontrib>Lataster, Arno</creatorcontrib><creatorcontrib>van der Hulst, René R. W. J.</creatorcontrib><creatorcontrib>Tuinder, Stefania M. H.</creatorcontrib><title>Breast sensibility in bilateral autologous breast reconstruction with unilateral sensory nerve coaptation</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><addtitle>Breast Cancer Res Treat</addtitle><description>Background
Patient satisfaction after breast reconstruction is dependent on both esthetics and functional outcomes. In an attempt to improve breast sensibility, a sensory nerve coaptation can be performed. The aim of this study was to objectify the sensory recovery in patients who, by chance, underwent bilateral autologous breast reconstruction with one innervated and one non-innervated flap. It must be emphasized that the intention was to coaptate the sensory nerves on both sides.
Methods
The cohort study was carried out in the Maastricht University Medical Center between August 2016 and August 2018. Patients were eligible if they underwent bilateral non-complex, autologous breast reconstruction with unilateral sensory nerve coaptation and underwent sensory measurements using Semmes–Weinstein monofilaments at 12 months of follow-up. Sensory outcomes were compared using
t
tests.
Results
A total of 15 patients were included, all contributing one innervated and one non-innervated flap. All patients had a follow-up of at least 12 months, but were measured at different follow-up points with a mean follow-up of 19 months. Sensory nerve coaptation was significantly associated with better sensation in the innervated breasts and showed better sensory recovery over time, compared to non-innervated breasts. Moreover, the protective sensation of the skin can be restored by sensory nerve coaptation.
Conclusions
The study demonstrated that sensory nerve coaptation leads to better sensation in the autologous reconstructed breast in patients who underwent bilateral breast reconstruction and, by chance, received unilateral sensory nerve coaptation.</description><subject>Breast</subject><subject>Breast - innervation</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Breasts</subject><subject>Cancer research</subject><subject>Clinical Trial</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Mammaplasty</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy</subject><subject>Medical centers</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Patient satisfaction</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Sensation - physiology</subject><subject>Sensory neurons</subject><subject>Surgical Flaps - innervation</subject><issn>0167-6806</issn><issn>1573-7217</issn><issn>1573-7217</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kl1rFDEYhQdR7Lb6B7yQAUF6M_VNMskkN0ItfkHBG70OmZl3dlNmkzXJtMy_N-PWbVdEcpGQPOckOZyieEXgggA07yIBXqsKKFTARc2r-UmxIrxhVUNJ87RYARFNJSSIk-I0xhsAUA2o58UJo6wWkqhVYT8ENDGVEV20rR1tmkvryrwyCYMZSzMlP_q1n2LZ7tGAnXcxhalL1rvyzqZNObmDYHHyYS4dhlssO292ySzgi-LZYMaIL-_ns-LHp4_fr75U198-f726vK463tBUEVRMtLXsVY_GKMlrgpwqJpka-l4wShm2AttODLQlhgsp-p6bgfYd9jAgOyve7313U7vFvOtSfpbeBbs1YdbeWH184uxGr_2tbigFKVU2OL83CP7nhDHprY0djqNxmGPQlCnBgHFY0Dd_oTd-Ci5_T9MaKOVQS3ig1mZEbd3g873dYqovBWWSNvnqTF38g8qjx63NieNg8_6R4O0jwQbNmDbRj9MSdjwG6R7sgo8x4HAIg4BemqT3TdK5Sfp3k_ScRa8fx3iQ_KlOBtgeiPnIrTE8_P0_tr8AzeTWlA</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Bijkerk, Ennie</creator><creator>van Kuijk, Sander M. J.</creator><creator>Lataster, Arno</creator><creator>van der Hulst, René R. W. J.</creator><creator>Tuinder, Stefania M. H.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200601</creationdate><title>Breast sensibility in bilateral autologous breast reconstruction with unilateral sensory nerve coaptation</title><author>Bijkerk, Ennie ; van Kuijk, Sander M. 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H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-1e936b48d9deaa98541e5293839fdd63223eb6ebc6f2b1a5686dd5af2dced0fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Breast</topic><topic>Breast - innervation</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - surgery</topic><topic>Breasts</topic><topic>Cancer research</topic><topic>Clinical Trial</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Mammaplasty</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy</topic><topic>Medical centers</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Patient satisfaction</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Sensation - physiology</topic><topic>Sensory neurons</topic><topic>Surgical Flaps - innervation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bijkerk, Ennie</creatorcontrib><creatorcontrib>van Kuijk, Sander M. J.</creatorcontrib><creatorcontrib>Lataster, Arno</creatorcontrib><creatorcontrib>van der Hulst, René R. W. J.</creatorcontrib><creatorcontrib>Tuinder, Stefania M. 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J.</au><au>Lataster, Arno</au><au>van der Hulst, René R. W. J.</au><au>Tuinder, Stefania M. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast sensibility in bilateral autologous breast reconstruction with unilateral sensory nerve coaptation</atitle><jtitle>Breast cancer research and treatment</jtitle><stitle>Breast Cancer Res Treat</stitle><addtitle>Breast Cancer Res Treat</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>181</volume><issue>3</issue><spage>599</spage><epage>610</epage><pages>599-610</pages><issn>0167-6806</issn><issn>1573-7217</issn><eissn>1573-7217</eissn><abstract>Background
Patient satisfaction after breast reconstruction is dependent on both esthetics and functional outcomes. In an attempt to improve breast sensibility, a sensory nerve coaptation can be performed. The aim of this study was to objectify the sensory recovery in patients who, by chance, underwent bilateral autologous breast reconstruction with one innervated and one non-innervated flap. It must be emphasized that the intention was to coaptate the sensory nerves on both sides.
Methods
The cohort study was carried out in the Maastricht University Medical Center between August 2016 and August 2018. Patients were eligible if they underwent bilateral non-complex, autologous breast reconstruction with unilateral sensory nerve coaptation and underwent sensory measurements using Semmes–Weinstein monofilaments at 12 months of follow-up. Sensory outcomes were compared using
t
tests.
Results
A total of 15 patients were included, all contributing one innervated and one non-innervated flap. All patients had a follow-up of at least 12 months, but were measured at different follow-up points with a mean follow-up of 19 months. Sensory nerve coaptation was significantly associated with better sensation in the innervated breasts and showed better sensory recovery over time, compared to non-innervated breasts. Moreover, the protective sensation of the skin can be restored by sensory nerve coaptation.
Conclusions
The study demonstrated that sensory nerve coaptation leads to better sensation in the autologous reconstructed breast in patients who underwent bilateral breast reconstruction and, by chance, received unilateral sensory nerve coaptation.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32346819</pmid><doi>10.1007/s10549-020-05645-y</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-6806 |
| ispartof | Breast cancer research and treatment, 2020-06, Vol.181 (3), p.599-610 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Breast Breast - innervation Breast cancer Breast Neoplasms - pathology Breast Neoplasms - surgery Breasts Cancer research Clinical Trial Female Follow-Up Studies Humans Mammaplasty Mammaplasty - methods Mastectomy Medical centers Medicine Medicine & Public Health Middle Aged Oncology Patient satisfaction Prognosis Prospective Studies Recovery of Function Retrospective Studies Sensation - physiology Sensory neurons Surgical Flaps - innervation |
| title | Breast sensibility in bilateral autologous breast reconstruction with unilateral sensory nerve coaptation |
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