Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery
Background:. This study evaluated the sensory and breast pain outcomes in inferior versus superomedial pedicle breast reduction. Methods:. Twenty patients undergoing the inferior pedicle technique were matched to 20 patients undergoing the superomedial pedicle technique based on age, BMI, and resect...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006427 |
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| author | Katya Remy, MD Curtis L. Cetrulo, Jr, MD Colby J. Hyland, MD Riley Baker, BS Anna Reaman, BS Krishna Vyas, MD, PhD Lisa Gfrerer, MD, PhD William G. Austen, Jr, MD Katherine H. Carruthers, MD |
| author_facet | Katya Remy, MD Curtis L. Cetrulo, Jr, MD Colby J. Hyland, MD Riley Baker, BS Anna Reaman, BS Krishna Vyas, MD, PhD Lisa Gfrerer, MD, PhD William G. Austen, Jr, MD Katherine H. Carruthers, MD |
| author_sort | Katya Remy, MD |
| collection | DOAJ |
| description | Background:. This study evaluated the sensory and breast pain outcomes in inferior versus superomedial pedicle breast reduction.
Methods:. Twenty patients undergoing the inferior pedicle technique were matched to 20 patients undergoing the superomedial pedicle technique based on age, BMI, and resection weight. Patients were evaluated preoperatively and postoperatively at 1, 3, 6, and 12 months. Monofilament testing was performed on the nipple-areola complex (NAC) and surrounding breast. Patient-reported outcomes included nipple and breast sensation (5-point Likert scale), pain intensity (0–10), and the Patient-reported Outcome Measurement Information System Neuropathic Pain Quality scale.
Results:. At the NAC, mean monofilament values and patient-reported sensation were significantly better in the inferior versus the superomedial pedicle group at 1 and 3 months postoperatively (P < 0.05) and comparable at 6 and 12 months (P > 0.05). At 12 months, 72.5% of patients reported complete (5 of 5) nipple sensation (77.5% inferior versus 67.5% superomedial, P > 0.05). At the breast, the mean monofilament values and patient-reported sensation were similar between pedicle groups throughout follow-up. At 12 months, 82.5% of the patients reported complete (5 of 5) breast sensation (85.0% inferior versus 80% superomedial, P > 0.05). Rates of postoperative breast pain were similar between groups throughout follow-up (P > 0.05). At 12 months, 25% of patients reported breast pain, with neuropathic qualities in 85% of cases.
Conclusions:. The inferior pedicle may allow for earlier restoration of quantitative and patient-reported NAC sensation, but long-term sensation is comparable between techniques. A quarter of patients reported persistent breast pain regardless of the pedicle type. |
| format | Article |
| id | doaj-art-201b8d5b61774091aab7fab4bb9da7ea |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-201b8d5b61774091aab7fab4bb9da7ea2025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e642710.1097/GOX.0000000000006427202501000-00013Reshaping Our Understanding of Sensation and Pain Following Breast Reduction SurgeryKatya Remy, MD0Curtis L. Cetrulo, Jr, MD1Colby J. Hyland, MD2Riley Baker, BS3Anna Reaman, BS4Krishna Vyas, MD, PhD5Lisa Gfrerer, MD, PhD6William G. Austen, Jr, MD7Katherine H. Carruthers, MD8From the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA† Division of Plastic and Reconstructive Surgery, Cedars-Sinai Medical Center, Los Angeles, CAFrom the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA‡ Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY.From the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MABackground:. This study evaluated the sensory and breast pain outcomes in inferior versus superomedial pedicle breast reduction. Methods:. Twenty patients undergoing the inferior pedicle technique were matched to 20 patients undergoing the superomedial pedicle technique based on age, BMI, and resection weight. Patients were evaluated preoperatively and postoperatively at 1, 3, 6, and 12 months. Monofilament testing was performed on the nipple-areola complex (NAC) and surrounding breast. Patient-reported outcomes included nipple and breast sensation (5-point Likert scale), pain intensity (0–10), and the Patient-reported Outcome Measurement Information System Neuropathic Pain Quality scale. Results:. At the NAC, mean monofilament values and patient-reported sensation were significantly better in the inferior versus the superomedial pedicle group at 1 and 3 months postoperatively (P < 0.05) and comparable at 6 and 12 months (P > 0.05). At 12 months, 72.5% of patients reported complete (5 of 5) nipple sensation (77.5% inferior versus 67.5% superomedial, P > 0.05). At the breast, the mean monofilament values and patient-reported sensation were similar between pedicle groups throughout follow-up. At 12 months, 82.5% of the patients reported complete (5 of 5) breast sensation (85.0% inferior versus 80% superomedial, P > 0.05). Rates of postoperative breast pain were similar between groups throughout follow-up (P > 0.05). At 12 months, 25% of patients reported breast pain, with neuropathic qualities in 85% of cases. Conclusions:. The inferior pedicle may allow for earlier restoration of quantitative and patient-reported NAC sensation, but long-term sensation is comparable between techniques. A quarter of patients reported persistent breast pain regardless of the pedicle type.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006427 |
| spellingShingle | Katya Remy, MD Curtis L. Cetrulo, Jr, MD Colby J. Hyland, MD Riley Baker, BS Anna Reaman, BS Krishna Vyas, MD, PhD Lisa Gfrerer, MD, PhD William G. Austen, Jr, MD Katherine H. Carruthers, MD Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery Plastic and Reconstructive Surgery, Global Open |
| title | Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery |
| title_full | Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery |
| title_fullStr | Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery |
| title_full_unstemmed | Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery |
| title_short | Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery |
| title_sort | reshaping our understanding of sensation and pain following breast reduction surgery |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006427 |
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