Title

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

Disciplines

Other Medical Specialties | Surgery

PubMedID

23790561

Department(s)

Department of Surgery, Department of Surgery Faculty, Department of Surgery Residents, Fellows and Residents

Document Type

Article