Nerve Coaptation in LTP Flap Breast Reconstruction

Sensory Recovery of the Breast Following Innervated and Non-innervated Lateral Thigh Perforator (LTP) Flap Breast Reconstructions

The sensory recovery of the breast remains an undervalued aspect of breast reconstruction and surgical reinnervation is not regarded as a priority by most reconstructive surgeons. A prospective study was conducted of all patients who underwent either innervated or non-innervated lateral thigh perforator (LTP) flap breast reconstruction in Maastricht University Medical Center and returned for follow-up between February 2016 and April 2019. Semmes-Weinstein monofilaments were used for sensory testing of the breast.

Inclusion Criteria:

• Female patients 18 years or older
• Unilateral or bilateral LTP flap breast reconstruction
• Returned for follow-up between February 2016 and April 2019
• Informed consent

Exclusion Criteria:

• In case of a total flap loss
• Flaps that required a take-back
• Follow-up less than six months postoperatively