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 |
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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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1324962484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1324962484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4225-5fbbd5a1dc7128884f3adaf5f0ec35491dc4c05e276426d4208f13c1e05328e43</originalsourceid><addsrcrecordid>eNqFkc1u1DAUhS0EotPCA7BBlth0E-q_OM5yZtTyo0ogpoil5TjXjKtMHOwEyGP0jfGQghASYuUr3e8cHd-D0DNKXlJCqotECJOqIJQXtOaiUA_QigrOCsYZf4hWhEuRZ8pP0GlKt4TQShL5GJ0wzuuKSrVCd-9jSAPY0X8FvBundsbB4R30yYw-9Nj3eN2PEH2IeLuHNOJ1BJPwBlyIgE3f4rXLe2zwxncmT6bD6---60LRHMksGIYYjN3jrMCXfRuSDYO3Fx9CE0Zv8c1-jsG3eDfFzxDnJ-iRM12Cp_fvGfp4dXmzfV1cv3v1Zru-LqxgrCxK1zRtaWhrK8qUUsJx0xpXOgKWl6LOC2FJCaySgslWMKIc5ZYCKTlTIPgZOl98c7ovU_6ZPvhkoetMD2FKmnImasmEOqIv_kJvwxT7nO4nxapKljRTdKFsPmmK4PQQ_cHEWVOij33ppS-d-9LHvrTKmuf3zlNzgPa34ldBGagX4JvvYP6_o_70dre5IpKzMmvZok1Z1ufb_hH7n4l-AJPYsa4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1324277651</pqid></control><display><type>article</type><title>Prospective Study of Sensation in Anterior Chest Areas Before and After a Bilateral Axillo-breast Approach for Endoscopic/Robotic Thyroid Surgery</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Kim, Su-jin ; Lee, Kyu Eun ; Myong, Jun Pyo ; Koo, Do Hoon ; Lee, Jeonghun ; Youn, Yeo-Kyu</creator><creatorcontrib>Kim, Su-jin ; Lee, Kyu Eun ; Myong, Jun Pyo ; Koo, Do Hoon ; Lee, Jeonghun ; Youn, Yeo-Kyu</creatorcontrib><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
< 0.05) and the biothesiometer (26.8 vs 31.2 vs 22.3
; P
< 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 & 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
< 0.05) and the biothesiometer (26.8 vs 31.2 vs 22.3
; P
< 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 & 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 ; Lee, Kyu Eun ; Myong, Jun Pyo ; Koo, Do Hoon ; Lee, Jeonghun ; Youn, Yeo-Kyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4225-5fbbd5a1dc7128884f3adaf5f0ec35491dc4c05e276426d4208f13c1e05328e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Axilla</topic><topic>Breast</topic><topic>Cardiac Surgery</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Infrared Thermometer</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnosis</topic><topic>Pressure Threshold</topic><topic>Prospective Studies</topic><topic>Robotic Thyroidectomy</topic><topic>Robotics</topic><topic>Skin Flap</topic><topic>Somatosensory Disorders - diagnosis</topic><topic>Somatosensory Disorders - etiology</topic><topic>Subtotal Thyroidectomy</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Thorax</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroidectomy - methods</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Su-jin</au><au>Lee, Kyu Eun</au><au>Myong, Jun Pyo</au><au>Koo, Do Hoon</au><au>Lee, Jeonghun</au><au>Youn, Yeo-Kyu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective Study of Sensation in Anterior Chest Areas Before and After a Bilateral Axillo-breast Approach for Endoscopic/Robotic Thyroid Surgery</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2013-05</date><risdate>2013</risdate><volume>37</volume><issue>5</issue><spage>1147</spage><epage>1153</epage><pages>1147-1153</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>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
< 0.05) and the biothesiometer (26.8 vs 31.2 vs 22.3
; P
< 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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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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