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.

Selective Denervation of Pectoralis Major Muscle Improves Cosmetic Outcome and Quality of Life in Retro-Pectoral Implant Based Breast Reconstruction / Bernini, M.; Sordi, S.; Bembi, N.; Meattini, I.; De Benedetto, D.; Cucchiari, J. N.; Livi, L.; Orzalesi, L.. - In: CLINICAL BREAST CANCER. - ISSN 1526-8209. - (2021), pp. 0-0. [10.1016/j.clbc.2021.07.007]

Selective Denervation of Pectoralis Major Muscle Improves Cosmetic Outcome and Quality of Life in Retro-Pectoral Implant Based Breast Reconstruction

Bernini M.;
2021

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.
2021
0
0
Selective Denervation of Pectoralis Major Muscle Improves Cosmetic Outcome and Quality of Life in Retro-Pectoral Implant Based Breast Reconstruction / Bernini, M.; Sordi, S.; Bembi, N.; Meattini, I.; De Benedetto, D.; Cucchiari, J. N.; Livi, L.; Orzalesi, L.. - In: CLINICAL BREAST CANCER. - ISSN 1526-8209. - (2021), pp. 0-0. [10.1016/j.clbc.2021.07.007]
Bernini, M.; Sordi, S.; Bembi, N.; Meattini, I.; De Benedetto, D.; Cucchiari, J. N.; Livi, L.; Orzalesi, L.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1331732
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