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Novel Nipple Reinnervation Technique Using N. Suralis Graft
Jānis Lapiņš1,2, Beatriz Soares Domingues Polita3, Linda Kalniņa1
1Department of Doctoral Studies, Rīga Stradiņš University, LV-1007 Riga, Latvia.
Medicina (Kaunas, Lithuania)
|September 28, 2024
Summary
Nipple-sparing mastectomy often causes loss of nipple sensation, impacting quality of life. Using an autologous nerve graft for nipple-areola complex reinnervation shows promise for restoring sensation and improving patient well-being.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Neuroscience
Background:
- Nipple-sparing mastectomy (NSM) frequently results in loss of nipple sensation, diminishing patients' quality of life.
- Nerve allografting is a technique to restore sensation, but it has limitations including cost and reduced efficacy with larger grafts.
Observation:
- A novel technique involving immediate implant-based breast reconstruction combined with nipple-areola complex reinnervation using an autologous nerve graft was performed.
- The patient underwent reconstruction using a sural nerve autograft.
Findings:
- The patient demonstrated improved sensory outcomes in the reconstructed breast.
- Good quality-of-life indices were reported postoperatively.
Implications:
- Autologous sural nerve grafts represent a viable option for restoring breast sensation after mastectomy.
- This technique may enhance physical, psychosocial, and sexual well-being for patients undergoing NSM.
