Prospective Study of Sensation in Anterior Chest Areas Before and After a Bilateral Axillo-breast Approach for Endoscopic/Robotic Thyroid Surgery

Background The bilateral axillo-breast approach for endoscopic/robotic thyroid surgery (BABA) shows good oncologic and surgical outcomes and does not result in neck scars. However, there is concern about potential sensory changes of the skin flaps after BABA, especially of the breast areas. This pro...

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Veröffentlicht in:World journal of surgery 2013-05, Vol.37 (5), p.1147-1153
Hauptverfasser: Kim, Su-jin, Lee, Kyu Eun, Myong, Jun Pyo, Koo, Do Hoon, Lee, Jeonghun, Youn, Yeo-Kyu
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container_issue 5
container_start_page 1147
container_title World journal of surgery
container_volume 37
creator Kim, Su-jin
Lee, Kyu Eun
Myong, Jun Pyo
Koo, Do Hoon
Lee, Jeonghun
Youn, Yeo-Kyu
description Background The bilateral axillo-breast approach for endoscopic/robotic thyroid surgery (BABA) shows good oncologic and surgical outcomes and does not result in neck scars. However, there is concern about potential sensory changes of the skin flaps after BABA, especially of the breast areas. This prospective study was undertaken to evaluate sensory changes in the skin flaps after BABA. Patients and Methods A total of 19 women (mean age 36.9 ± 8.7; age range 21–51 years) who underwent BABA were enrolled. Skin flap sensory assessments were performed for each patient preoperatively and again at 1 and 3 months postoperatively. The Semmes-Weinstein monofilament test was used to evaluate the cutaneous light-pressure thresholds, a biothesiometer was used to evaluate the vibration thresholds, and an infrared thermometer was used to measure skin temperatures of the skin flaps. Results There were changes in the sensations of the anterior chest areas over time, as determined by the Semmes-Weinstein monofilament test (1.5 vs 4.3 versus 1.4; P  
doi_str_mv 10.1007/s00268-013-1934-8
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However, there is concern about potential sensory changes of the skin flaps after BABA, especially of the breast areas. This prospective study was undertaken to evaluate sensory changes in the skin flaps after BABA. Patients and Methods A total of 19 women (mean age 36.9 ± 8.7; age range 21–51 years) who underwent BABA were enrolled. Skin flap sensory assessments were performed for each patient preoperatively and again at 1 and 3 months postoperatively. The Semmes-Weinstein monofilament test was used to evaluate the cutaneous light-pressure thresholds, a biothesiometer was used to evaluate the vibration thresholds, and an infrared thermometer was used to measure skin temperatures of the skin flaps. Results There were changes in the sensations of the anterior chest areas over time, as determined by the Semmes-Weinstein monofilament test (1.5 vs 4.3 versus 1.4; P  &lt; 0.05) and the biothesiometer (26.8 vs 31.2 vs 22.3 ; P  &lt; 0.05). The sensations in the anterior chest areas normalized to preoperative levels at 3 months postoperatively. No significant differences were seen in the infrared thermometer test at any of the time points (36.2 vs 36.2 vs 36.3 °C; P  = 0.9927). Conclusions While anterior chest area sensations were changed at 1 month postoperatively, the sensations normalized at 3 months after BABA. These results suggest that BABA has minimal adverse effects on anterior chest area sensation.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-013-1934-8</identifier><identifier>PMID: 23397168</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Analysis of Variance ; Axilla ; Breast ; Cardiac Surgery ; Endoscopy ; Female ; Follow-Up Studies ; General Surgery ; Humans ; Infrared Thermometer ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Postoperative Complications - diagnosis ; Pressure Threshold ; Prospective Studies ; Robotic Thyroidectomy ; Robotics ; Skin Flap ; Somatosensory Disorders - diagnosis ; Somatosensory Disorders - etiology ; Subtotal Thyroidectomy ; Surgery ; Thoracic Surgery ; Thorax ; Thyroid Neoplasms - surgery ; Thyroidectomy - methods ; Treatment Outcome ; Vascular Surgery</subject><ispartof>World journal of surgery, 2013-05, Vol.37 (5), p.1147-1153</ispartof><rights>Société Internationale de Chirurgie 2013</rights><rights>2013 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4225-5fbbd5a1dc7128884f3adaf5f0ec35491dc4c05e276426d4208f13c1e05328e43</citedby><cites>FETCH-LOGICAL-c4225-5fbbd5a1dc7128884f3adaf5f0ec35491dc4c05e276426d4208f13c1e05328e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-013-1934-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-013-1934-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23397168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Su-jin</creatorcontrib><creatorcontrib>Lee, Kyu Eun</creatorcontrib><creatorcontrib>Myong, Jun Pyo</creatorcontrib><creatorcontrib>Koo, Do Hoon</creatorcontrib><creatorcontrib>Lee, Jeonghun</creatorcontrib><creatorcontrib>Youn, Yeo-Kyu</creatorcontrib><title>Prospective Study of Sensation in Anterior Chest Areas Before and After a Bilateral Axillo-breast Approach for Endoscopic/Robotic Thyroid Surgery</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background The bilateral axillo-breast approach for endoscopic/robotic thyroid surgery (BABA) shows good oncologic and surgical outcomes and does not result in neck scars. However, there is concern about potential sensory changes of the skin flaps after BABA, especially of the breast areas. This prospective study was undertaken to evaluate sensory changes in the skin flaps after BABA. Patients and Methods A total of 19 women (mean age 36.9 ± 8.7; age range 21–51 years) who underwent BABA were enrolled. Skin flap sensory assessments were performed for each patient preoperatively and again at 1 and 3 months postoperatively. The Semmes-Weinstein monofilament test was used to evaluate the cutaneous light-pressure thresholds, a biothesiometer was used to evaluate the vibration thresholds, and an infrared thermometer was used to measure skin temperatures of the skin flaps. Results There were changes in the sensations of the anterior chest areas over time, as determined by the Semmes-Weinstein monofilament test (1.5 vs 4.3 versus 1.4; P  &lt; 0.05) and the biothesiometer (26.8 vs 31.2 vs 22.3 ; P  &lt; 0.05). The sensations in the anterior chest areas normalized to preoperative levels at 3 months postoperatively. No significant differences were seen in the infrared thermometer test at any of the time points (36.2 vs 36.2 vs 36.3 °C; P  = 0.9927). Conclusions While anterior chest area sensations were changed at 1 month postoperatively, the sensations normalized at 3 months after BABA. These results suggest that BABA has minimal adverse effects on anterior chest area sensation.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Axilla</subject><subject>Breast</subject><subject>Cardiac Surgery</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Infrared Thermometer</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnosis</subject><subject>Pressure Threshold</subject><subject>Prospective Studies</subject><subject>Robotic Thyroidectomy</subject><subject>Robotics</subject><subject>Skin Flap</subject><subject>Somatosensory Disorders - diagnosis</subject><subject>Somatosensory Disorders - etiology</subject><subject>Subtotal Thyroidectomy</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Thorax</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroidectomy - methods</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1u1DAUhS0EotPCA7BBlth0E-q_OM5yZtTyo0ogpoil5TjXjKtMHOwEyGP0jfGQghASYuUr3e8cHd-D0DNKXlJCqotECJOqIJQXtOaiUA_QigrOCsYZf4hWhEuRZ8pP0GlKt4TQShL5GJ0wzuuKSrVCd-9jSAPY0X8FvBundsbB4R30yYw-9Nj3eN2PEH2IeLuHNOJ1BJPwBlyIgE3f4rXLe2zwxncmT6bD6---60LRHMksGIYYjN3jrMCXfRuSDYO3Fx9CE0Zv8c1-jsG3eDfFzxDnJ-iRM12Cp_fvGfp4dXmzfV1cv3v1Zru-LqxgrCxK1zRtaWhrK8qUUsJx0xpXOgKWl6LOC2FJCaySgslWMKIc5ZYCKTlTIPgZOl98c7ovU_6ZPvhkoetMD2FKmnImasmEOqIv_kJvwxT7nO4nxapKljRTdKFsPmmK4PQQ_cHEWVOij33ppS-d-9LHvrTKmuf3zlNzgPa34ldBGagX4JvvYP6_o_70dre5IpKzMmvZok1Z1ufb_hH7n4l-AJPYsa4</recordid><startdate>201305</startdate><enddate>201305</enddate><creator>Kim, Su-jin</creator><creator>Lee, Kyu Eun</creator><creator>Myong, Jun Pyo</creator><creator>Koo, Do Hoon</creator><creator>Lee, Jeonghun</creator><creator>Youn, Yeo-Kyu</creator><general>Springer-Verlag</general><general>Springer‐Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201305</creationdate><title>Prospective Study of Sensation in Anterior Chest Areas Before and After a Bilateral Axillo-breast Approach for Endoscopic/Robotic Thyroid Surgery</title><author>Kim, Su-jin ; 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However, there is concern about potential sensory changes of the skin flaps after BABA, especially of the breast areas. This prospective study was undertaken to evaluate sensory changes in the skin flaps after BABA. Patients and Methods A total of 19 women (mean age 36.9 ± 8.7; age range 21–51 years) who underwent BABA were enrolled. Skin flap sensory assessments were performed for each patient preoperatively and again at 1 and 3 months postoperatively. The Semmes-Weinstein monofilament test was used to evaluate the cutaneous light-pressure thresholds, a biothesiometer was used to evaluate the vibration thresholds, and an infrared thermometer was used to measure skin temperatures of the skin flaps. Results There were changes in the sensations of the anterior chest areas over time, as determined by the Semmes-Weinstein monofilament test (1.5 vs 4.3 versus 1.4; P  &lt; 0.05) and the biothesiometer (26.8 vs 31.2 vs 22.3 ; P  &lt; 0.05). The sensations in the anterior chest areas normalized to preoperative levels at 3 months postoperatively. No significant differences were seen in the infrared thermometer test at any of the time points (36.2 vs 36.2 vs 36.3 °C; P  = 0.9927). Conclusions While anterior chest area sensations were changed at 1 month postoperatively, the sensations normalized at 3 months after BABA. These results suggest that BABA has minimal adverse effects on anterior chest area sensation.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>23397168</pmid><doi>10.1007/s00268-013-1934-8</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals; Wiley Online Library Journals Frontfile Complete
subjects Abdominal Surgery
Adult
Analysis of Variance
Axilla
Breast
Cardiac Surgery
Endoscopy
Female
Follow-Up Studies
General Surgery
Humans
Infrared Thermometer
Medicine
Medicine & Public Health
Middle Aged
Postoperative Complications - diagnosis
Pressure Threshold
Prospective Studies
Robotic Thyroidectomy
Robotics
Skin Flap
Somatosensory Disorders - diagnosis
Somatosensory Disorders - etiology
Subtotal Thyroidectomy
Surgery
Thoracic Surgery
Thorax
Thyroid Neoplasms - surgery
Thyroidectomy - methods
Treatment Outcome
Vascular Surgery
title Prospective Study of Sensation in Anterior Chest Areas Before and After a Bilateral Axillo-breast Approach for Endoscopic/Robotic Thyroid Surgery
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