Neurectomy for Breast Reconstruction-Related Spasms of the Pectoralis Major Muscle
Publication/Presentation Date
2-1-2014
Abstract
Tissue expander-based breast reconstruction is the most commonly utilized technique in the U.S. This modality, however, may be associated with significant pain related to pectoralis myospasms. Spasms of the pectoralis major likely result from trauma to the pectoral nerves during muscle elevation. In a subset of patients, Botox(®) therapy may be inadequate for long-term relief. We describe a patient with intractable pectoralis myospasms after breast reconstruction. Upon failing Botox(®) therapy, medial and lateral pectoral neurectomies were performed. Nine months after the procedure, the patient noted dramatic improvement in both symptoms and cosmesis with no musculoskeletal sequelae. We recommend medial and lateral pectoral neurectomy as an alternative in patients with intractable pectoral myospasms after tissue expander reconstruction.
Volume
67
Issue
2
First Page
257
Last Page
259
ISSN
1878-0539
Published In/Presented At
Adkinson, J. M., Miller, N. F., & Murphy, R. J. (2014). Neurectomy for breast reconstruction-related spasms of the pectoralis major muscle. Journal Of Plastic, Reconstructive & Aesthetic Surgery: JPRAS, 67(2), 257-259. doi:10.1016/j.bjps.2013.06.025
Disciplines
Other Medical Specialties | Surgery
PubMedID
23790561
LVHN link
http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=23790561&site=ehost-live&scope=site&authtype=uid&user=lvhnlibrary1&password=Library1
Department(s)
Department of Surgery, Department of Surgery Faculty, Department of Surgery Residents, Fellows and Residents
Document Type
Article