Selective Denervation of Pectoralis Major Muscle Improves Cosmetic Outcome and Quality of Life in Retro-Pectoral Implant Based Breast Reconstruction.
Clin Breast Cancer
; 22(1): 60-66, 2022 01.
Article
em En
| MEDLINE
| ID: mdl-34393050
ABSTRACT
BACKGROUND:
Selective pectoralis major muscle (PMM) denervation has been described in retro-pectoral reconstructions to obtain the advantages of the pre-pectoral approach. Present study compared subjective evaluations between retro-pectoral implant based breast reconstructions (IBBRs) with denervation to traditional techniques without denervation.METHODS:
In 2020, two 2 groups of patients submitted to retro-pectoral IBBR, minimum 12-month follow-up, were compared through BREAST-Q post-operative questionnaire. Group-1 included direct-to-implant or two2-stage tissue expanderTE cases with selective PMM denervation, while Group-2 similar procedures, in the same time span 2017-2019, without denervation. BREAST-Q was divided into five 5 independent scales and for each scale item responses were summed up and transformed into a score, ranging from 0 to 100, to analyze and compare the results.RESULTS:
50 patients were included both in Group1 and Group-2. Group-1 patients reported significantly higher scores in "satisfaction with the reconstructed breast" scale compared to Group-2, means-medians of 56-58 and 47-50, respectively. A trend in favor of Group-1 was recorded in the scales of "psycho-social well-being", 64-65 vs. 58-53, and "sexual well-being", 53-47 vs. 48-47, albeit not significant. Substantial equivalence was found in "satisfaction with the result overall" and "physical well-being".CONCLUSION:
PMM denervation can improve cosmetic results in retro-pec IBBRs, thus leading to better QoL. Possible pain and physical discomfort weren't caused by denervation with scores similar to non-denervated controls.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Músculos Peitorais
/
Neoplasias da Mama
/
Denervação
/
Estética
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article