Evaluation of Sensation on Mastectomy Skin Flaps following Immediate Breast Reconstruction

Take a look at a study I have published in the Journal of Reconstructive Microsurgery with Zeynep Akdeniz Dogan. The aim of this study is to investigate factors that have impact on the sensation of the mastectomy flaps and patients' own perception regarding overall breast skin sensation.

Like Comment
Related Content

During a subcutaneous mastectomy, nerves are severed and patients lose sensation on the breast skin. The aim of this study is to investigate factors that have impact on the sensation of the mastectomy flaps and patients' own perception regarding overall breast skin sensation.

Patients who have undergone skin sparing or nipple sparing mastectomy with immediate reconstruction with either an implant or autologous tissue were included. Sensory assessment was performed at least 12 months after surgery using Semmes–Weinstein monofilaments (Aesthesio, San Jose, CA). The breast envelope was divided into four quadrants, and one measurement from each quadrant was recorded. Patients were also asked to fill out a questionnaire before the examination.

The authors concluded that vascularized tissue did not improve sensory recovery. There was no relationship between sensation and the preoperative cup size and the number of revision surgeries. Irradiation was associated with higher sensory thresholds in lower medial quadrant. Nipple sparing mastectomy was associated with lower sensory thresholds in two quadrants compared to SSM. Independent of all variables none of the patients reported normal sensation.

To read the full article, please go here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0040-1702157

Or click 'Related Content' above.

Jian Farhadi

Plastic and Reconstructive Surgeon, Guy's and St Thomas' Hospital London & Plastic Surgery Group Zurich

Professor Farhadi is a Consultant Plastic Surgeon and previous Director of the Department of Plastic and Reconstructive Surgery at Guy’s and St Thomas’ Hospital, London. He trained in Switzerland and London, where he developed a specialisation in aesthetic and reconstructive surgery of the breast, including microvascular breast reconstruction. Due to his extensive experience he has become an authority on this subject, where he is regularly invited as a speaker to national and international conferences. Professor Farhadi runs an active research group, where he has published widely. He is co-Chair of the European Master’s in surgical oncology, reconstructive and aesthetic breast surgery.
6 Contributions
37 Followers
11 Following

No comments yet.