Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
권호 표지

Sensory Restoration in Reconstructed Breast with Free TRAM Flap

횡복직근 유리 피판술로 재건된 가슴에서의 감각 회복에 대한 임상적 고찰

  • Ahn, Hee-Chang (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University) ;
  • Sung, Kun-Yong (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University) ;
  • Choi, Matthew Seung-Suk (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University) ;
  • Hwang, Won-Joong (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
  • 안희창 (한양대학교 의과대학 성형외과학교실) ;
  • 성건용 (한양대학교 의과대학 성형외과학교실) ;
  • 최승석 (한양대학교 의과대학 성형외과학교실) ;
  • 황원중 (한양대학교 의과대학 성형외과학교실)
  • Published : 2005.10.31
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Abstract

The purpose of this study is to introduce a sensory restoration in reconstructed breast with free TRAM flap to evaluate recovery aspect and recovery quantity. 144 patients underwent breast reconstruction with free TRAM flap by authors and were followed up at the out patient clinique. We discovered that sensory of operated breast was recoverd. We divide the breast into 5 region (upper medial, lower medial, upper lateral, lower lateral, nipple areolar complex) for examining the sensory restoration. Sense of upper medial region & upper lateral region is recovered more quickly than other region. Touch sensation was recovered more quickly than pain sensation, temperature sensation, vibratory sensation. After about 1 year all protective sensation was recovered in all patient. We discovered that severe postop scar and irradiation of breast is related to delayed sensory recovery, age and size of flap is not related to sensory recovery.

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