Sensitivity of the nipple-areola complex and breast pain following type Ⅰ dual-plane breast augmentation via endoscopic assisted axillary approach: a long-term retrospective study of 53 patients
10.3760/cma.j.cn114453-20200609-00348
- VernacularTitle:内镜辅助腋窝入路Ⅰ型双平面假体隆乳术后乳房感觉异常53例分析
- Author:
Juan AN
1
;
Huaian LIN
;
Danning ZHENG
;
Li YU
Author Information
1. 上海交通大学医学院附属第九人民医院整复外科 200011
- Keywords:
Endoscopy;
Breast implants;
Paresthesia;
Augmentation mammoplasty
- From:
Chinese Journal of Plastic Surgery
2020;36(11):1232-1236
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the morbidity and causes of long-term abnormal sensation of breasts after typy Ⅰ dual-plane breast implant augmentation via endoscopic assisted axillary approach.Methods:A retrospective analysis was conducted on 53 patients who underwent endoscopic assisted transaxillary type Ⅰ dual plane breast implant augmentation by a same surgeon from July 2014 to December 2016. All patients were followed up for more than 18 months. Hyperesthesia, hypoesthesia and numbness of nipple-areola complex and imframammary fold and breast pain were accessed.Results:According to the palpation and consultation of the surgeon, a total of 10 patients presented with post-operative long-term abnormal sensation of breasts, of which 6(11.3% of the total number) patients presented with hypoesthesia of nipple-areola complex, 1 patient (1.9% of the total number)presented with hyperesthesia of nipple-areola complex, and 2 patients (3.8% of the total number)presented with hypoesthesia of inframammary fold region. One patient (1.9% of the total number) had long-term postoperative breast pain. According to the questionnaire designed to assess breast sensation, a total of 33 patients (64.7%) presented with long-term postoperative breast pain, a total of 12 patients (23.5%) presented with post-operative long-term hyperesthesia of nipple-areola complex, another 5 patients (9.8%) presented with transient hyperesthesia of nipple-areola complex.Conclusions:It is clear that the incidence of post-operative long-term abnormal breast sensation following endoscopic assisted transaxillary type Ⅰ dual-plane breast implant augmentation is comparatively low and controllable.And the main reason for this complication is the peripheral nerve innervation of the nipple areolar complex.
