საკვანძო სიტყვები
Post-mastectomy breast reconstruction
Neurotization
როგორ უნდა ციტირება
ანოტაცია
Breast reconstruction after mastectomy has traditionally focused on aesthetics and donor site safety, with little attention to sensory recovery. Loss of breast sensation, including tactile and erogenous, negatively impacts patient satisfaction, Quality of life (QoL), and psychosocial well-being. This review summarizes current evidence on sensory restoration techniques, including flap neurotization, nipple-areola complex (NAC) reinnervation, and grafting strategies. Neurotized autologous flaps consistently show superior sensory outcomes compared to non-innervated flaps and implant-based reconstruction. Techniques like TNR improve NAC and peripheral breast sensation, while careful surgical planning, including donor nerve choice and pedicle selection, enhances recovery. Despite strong evidence supporting these approaches, routine adoption is limited by heterogeneity in technique, lack of standardized outcome measures, small study sizes, added operative time, costs, and technical complexity. Future work should focus on larger prospective trials, standardized sensory assessments, and integration of microsurgical, pharmacologic, and bioengineered strategies. Incorporating sensory restoration into ERAS protocols and exploring novel methods may help make it a standard part of post-mastectomy breast reconstruction.
წყაროები
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