Evidence map›Paper›PMID 41976275›Full record

ReviewCancers2026

Sensory Outcomes and Neurotization Techniques Following Mastectomies: A Comprehensive Systematic Review.

Beryl Zhou, Denis Cipurko, Rebeka Dejenie, Maeson Zietowski, Daniel Wong, Summer E Hanson

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Beryl ZhouPritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA.ORCID 0009-0009-9218-8277
Denis CipurkoPritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA.
Rebeka DejenieSection of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Science Division, Chicago, IL 60637, USA.
Maeson ZietowskiPritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA.
Daniel WongSection of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Science Division, Chicago, IL 60637, USA.
Summer E HansonSection of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Science Division, Chicago, IL 60637, USA.ORCID 0000-0002-4106-9819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesWith increasing survival rates following oncologic mastectomies, loss of breast sensation can negatively impact a patient's quality of life.

methodsPubMed, Embase, and Web of Science were searched in April 2025 for studies reporting sensory outcomes after neurotized breast reconstruction. Eligible studies included patients undergoing autologous or implant-based reconstruction with any neurotization technique. Forty studies were included, and outcomes involved objective sensory testing (e.g., Semmes-Weinstein monofilaments, pressure-specified sensory devices, and thermal thresholds) and patient-reported quality of life (e.g., BREAST-Q).

resultsNeurotization consistently accelerated and improved recovery of tactile, thermal, and protective sensation compared with non-neurotized controls, particularly in DIEP and TRAM flaps. Direct coaptation was most frequently employed, while nerve allografts, conduits, and autologous grafts offered effective alternatives when direct repair was not feasible. Implant-based reconstructions using allografts also demonstrated significant improvements in the nipple-areola complex and breast skin sensation. Across studies, earlier and more uniform sensory return was reported, with improved sensation often associated with high patient satisfaction and quality of life.

conclusionsThe preponderance of observational evidence suggests that nerve coaptation, whether by direct suture, conduit, allograft, or autograft, represents a promising adjunct to breast reconstruction in both autologous and implant-based reconstruction. However, many studies were retrospective in design, had small sample sizes, and lacked randomization.

Indexed as

autologousbreast reconstructionimplant-based reconstructionnerve coaptationneurotizationsensory recovery

Identifiers

PMID41976275
PMCPMC13072177

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.