Abstract
Neurotization of DIEP free flaps has gained popularity in recent years in an effort to enhance sensation and quality of life in autologous breast reconstruction. The heterogenicity of the data shown in the literature still does not provide strong evidence of its benefit in comparison with non-innervated DIEP in long-term results; however, studies suggest that sensory recovery can be achieved earlier. The quality of sensory return may depend on donor nerve selection, the presence of radiation, and the possibility of direct nerve coaptation. This chapter discusses the techniques of neurosome selection, dissection, and coaptation with recipient nerve to optimize surgical efficiency and outcome.
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Rodriguez-Lorenzo, A., Liu, T., Mani, M. (2020). Breast Reconstruction with the Neurotized Deep Inferior Epigastric Perforator Flap. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_18
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DOI: https://doi.org/10.1007/978-3-030-34603-4_18
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