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METHODS: A retrospective review of a single surgeon’s practice identified breasts reconstructed with a pedicled latissimus dorsi flap including transection of a single branch of the thoracodorsal nerve. The incidence and severity of postoperative animation deformity were examined with identification of potential causative factors: age, BMI, indication for mastectomy, radiation therapy, chemotherapy, hormone therapy, and timing to reconstruction. Patients completed a survey to assess lifestyle implications. A cadaveric dissection of ten latissimus muscles identified anatomical causes of persistent muscle innervation.

Abstract: Neoadjuvant Chemotherapy Is Not Associated with Increased Risk of Complications in Immediate Breast Reconstruction