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.
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
Other Medical Specialties | Surgery
Department of Surgery, Department of Surgery Faculty, Department of Surgery Residents, Fellows and Residents