The sensational transverse rectus abdominis musculocutaneous (TRAM) flap: Return of sensibility after TRAM breast reconstruction

Sheri Slezak, B. McGibbon, A. L. Dellon

Research output: Contribution to journalArticle

Abstract

Normal breast sensation was objectively quantitated with a biothesiometer, Semmes-Weinstein monofilaments, and two-point discrimination in 10 patients. Ten patients, 2 to 7 years after pedicled transverse rectus abdominis musculocutaneous flap (TRAM) breast reconstruction, were tested in a similar manner. The majority of these patients were found to have recovered measurable sensibility in the TRAM reconstruction. Recovered sensation was best in the medial and superior quadrants and improved with time. Although sensibility was present, it was still significantly different from normal sensory thresholds. A method to improve sensation by intercostal nerve repair is described. Three patients who have undergone this reconstruction have better sensibility in the reinnervated breast compared with the control breast. Sensory reeducation programs may also improve subsequent sensibility return.

Original languageEnglish (US)
Pages (from-to)210-217
Number of pages8
JournalAnnals of Plastic Surgery
Volume28
Issue number3
Publication statusPublished - 1992
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

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