The impact of reduction mammaplasty on breast sensation: an analysis of multiple surgical techniques
Our prospective clinical trial collected sensory data using a computerized pressure-specified sensory device comparing 4 procedures for reduction mammaplasty. A total of 48 patients were assessed at baseline, 6 weeks (n = 42), 6 months (n = 15), and 1 year (n = 24) postoperatively. The findings of o...
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Veröffentlicht in: | Annals of plastic surgery 2012-02, Vol.68 (2), p.142-149 |
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container_title | Annals of plastic surgery |
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creator | Spear, Marcia E Nanney, Lillian B Phillips, Sharon Donahue, Rafe Rogers, Karen Meier Wendel, Jason J Summit, Blair Kelly, Kevin Shack, R Bruce Hagan, Kevin F |
description | Our prospective clinical trial collected sensory data using a computerized pressure-specified sensory device comparing 4 procedures for reduction mammaplasty. A total of 48 patients were assessed at baseline, 6 weeks (n = 42), 6 months (n = 15), and 1 year (n = 24) postoperatively. The findings of our study showed pressure sensitivity for women |
doi_str_mv | 10.1097/SAP.0b013e3182126854 |
format | Article |
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A total of 48 patients were assessed at baseline, 6 weeks (n = 42), 6 months (n = 15), and 1 year (n = 24) postoperatively. The findings of our study showed pressure sensitivity for women <43 years of age improved by pressure-specified sensory device assessment; whereas, outcome data merely indicated return to baseline in pressure sensitivity for women ≥ 43 years of age. Improved sensitivities for moving and static pressures were found in patients receiving vertical or inferior pedicle reduction mammaplasties. Reductions based on superior pedicles exhibited sensory loss as compared with baseline measurements while those receiving free nipple grafts showed negligible change. Moving and static sensation showed differential return after breast reduction irrespective of the specific surgical approach but sensation was uniquely conserved for the nipple. In the total cohort, the type of breast reduction procedure did not produce significant differences in breast sensation.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/SAP.0b013e3182126854</identifier><identifier>PMID: 21587040</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Breast - physiology ; Breast - surgery ; Female ; Follow-Up Studies ; Humans ; Mammaplasty - methods ; Middle Aged ; Multivariate Analysis ; Pressure ; Prospective Studies ; Skin Physiological Phenomena ; Surveys and Questionnaires ; Time Factors ; Touch ; Young Adult</subject><ispartof>Annals of plastic surgery, 2012-02, Vol.68 (2), p.142-149</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c255t-1a7688884e4a051b23f7565331dd8696e763752acd0b4e17277973eaed08c7f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21587040$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spear, Marcia E</creatorcontrib><creatorcontrib>Nanney, Lillian B</creatorcontrib><creatorcontrib>Phillips, Sharon</creatorcontrib><creatorcontrib>Donahue, Rafe</creatorcontrib><creatorcontrib>Rogers, Karen Meier</creatorcontrib><creatorcontrib>Wendel, Jason J</creatorcontrib><creatorcontrib>Summit, Blair</creatorcontrib><creatorcontrib>Kelly, Kevin</creatorcontrib><creatorcontrib>Shack, R Bruce</creatorcontrib><creatorcontrib>Hagan, Kevin F</creatorcontrib><title>The impact of reduction mammaplasty on breast sensation: an analysis of multiple surgical techniques</title><title>Annals of plastic surgery</title><addtitle>Ann Plast Surg</addtitle><description>Our prospective clinical trial collected sensory data using a computerized pressure-specified sensory device comparing 4 procedures for reduction mammaplasty. A total of 48 patients were assessed at baseline, 6 weeks (n = 42), 6 months (n = 15), and 1 year (n = 24) postoperatively. The findings of our study showed pressure sensitivity for women <43 years of age improved by pressure-specified sensory device assessment; whereas, outcome data merely indicated return to baseline in pressure sensitivity for women ≥ 43 years of age. Improved sensitivities for moving and static pressures were found in patients receiving vertical or inferior pedicle reduction mammaplasties. Reductions based on superior pedicles exhibited sensory loss as compared with baseline measurements while those receiving free nipple grafts showed negligible change. Moving and static sensation showed differential return after breast reduction irrespective of the specific surgical approach but sensation was uniquely conserved for the nipple. In the total cohort, the type of breast reduction procedure did not produce significant differences in breast sensation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Breast - physiology</subject><subject>Breast - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Mammaplasty - methods</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Pressure</subject><subject>Prospective Studies</subject><subject>Skin Physiological Phenomena</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Touch</subject><subject>Young Adult</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtLxDAQx4Mo7rr6DURy89Q1aZpHvS2LL1hQcD2XNJ26kaStTXvYb2_Krh4cBub5n4EfQteULCnJ5d376m1JSkIZMKpSmgrFsxM0p5yJhEmiTtGc0EwlkmRshi5C-CKEpioT52iWUq5in8xRtd0Btr7TZsBtjXuoRjPYtsFee687p8Owx7Ese4gpDtAEPc3vsW6ia7cPNkxKP7rBdg5wGPtPa7TDA5hdY79HCJforNYuwNUxLtDH48N2_ZxsXp9e1qtNYlLOh4RqKVS0DDJNOC1TVksuOGO0qpTIBUjBJE-1qUiZAZWplLlkoKEiysiasgW6Pdzt-nb6OxTeBgPO6QbaMRQ5lRESVyRuZodN07ch9FAXXW-97vcFJcWEt4h4i_94o-zm-GAsPVR_ol-e7AdZHHcD</recordid><startdate>201202</startdate><enddate>201202</enddate><creator>Spear, Marcia E</creator><creator>Nanney, Lillian B</creator><creator>Phillips, Sharon</creator><creator>Donahue, Rafe</creator><creator>Rogers, Karen Meier</creator><creator>Wendel, Jason J</creator><creator>Summit, Blair</creator><creator>Kelly, Kevin</creator><creator>Shack, R Bruce</creator><creator>Hagan, Kevin F</creator><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>7X8</scope></search><sort><creationdate>201202</creationdate><title>The impact of reduction mammaplasty on breast sensation: an analysis of multiple surgical techniques</title><author>Spear, Marcia E ; Nanney, Lillian B ; Phillips, Sharon ; Donahue, Rafe ; Rogers, Karen Meier ; Wendel, Jason J ; Summit, Blair ; Kelly, Kevin ; Shack, R Bruce ; Hagan, Kevin F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c255t-1a7688884e4a051b23f7565331dd8696e763752acd0b4e17277973eaed08c7f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Breast - physiology</topic><topic>Breast - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Mammaplasty - methods</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Pressure</topic><topic>Prospective Studies</topic><topic>Skin Physiological Phenomena</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Touch</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spear, Marcia E</creatorcontrib><creatorcontrib>Nanney, Lillian B</creatorcontrib><creatorcontrib>Phillips, Sharon</creatorcontrib><creatorcontrib>Donahue, Rafe</creatorcontrib><creatorcontrib>Rogers, Karen Meier</creatorcontrib><creatorcontrib>Wendel, Jason J</creatorcontrib><creatorcontrib>Summit, Blair</creatorcontrib><creatorcontrib>Kelly, Kevin</creatorcontrib><creatorcontrib>Shack, R Bruce</creatorcontrib><creatorcontrib>Hagan, Kevin F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spear, Marcia E</au><au>Nanney, Lillian B</au><au>Phillips, Sharon</au><au>Donahue, Rafe</au><au>Rogers, Karen Meier</au><au>Wendel, Jason J</au><au>Summit, Blair</au><au>Kelly, Kevin</au><au>Shack, R Bruce</au><au>Hagan, Kevin F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of reduction mammaplasty on breast sensation: an analysis of multiple surgical techniques</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2012-02</date><risdate>2012</risdate><volume>68</volume><issue>2</issue><spage>142</spage><epage>149</epage><pages>142-149</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><abstract>Our prospective clinical trial collected sensory data using a computerized pressure-specified sensory device comparing 4 procedures for reduction mammaplasty. A total of 48 patients were assessed at baseline, 6 weeks (n = 42), 6 months (n = 15), and 1 year (n = 24) postoperatively. The findings of our study showed pressure sensitivity for women <43 years of age improved by pressure-specified sensory device assessment; whereas, outcome data merely indicated return to baseline in pressure sensitivity for women ≥ 43 years of age. Improved sensitivities for moving and static pressures were found in patients receiving vertical or inferior pedicle reduction mammaplasties. Reductions based on superior pedicles exhibited sensory loss as compared with baseline measurements while those receiving free nipple grafts showed negligible change. Moving and static sensation showed differential return after breast reduction irrespective of the specific surgical approach but sensation was uniquely conserved for the nipple. In the total cohort, the type of breast reduction procedure did not produce significant differences in breast sensation.</abstract><cop>United States</cop><pmid>21587040</pmid><doi>10.1097/SAP.0b013e3182126854</doi><tpages>8</tpages></addata></record> |
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subjects | Adolescent Adult Age Factors Aged Breast - physiology Breast - surgery Female Follow-Up Studies Humans Mammaplasty - methods Middle Aged Multivariate Analysis Pressure Prospective Studies Skin Physiological Phenomena Surveys and Questionnaires Time Factors Touch Young Adult |
title | The impact of reduction mammaplasty on breast sensation: an analysis of multiple surgical techniques |
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