Evaluation of breast sensibility using dermatomal somatosensory evoked potentials

Plastic and Reconstructive Surgery
Carlos DelVecchyoJesica Gómez-Jauregui

Abstract

This study was undertaken to prospectively evaluate breast sensibility before and after reduction mammaplasty with a new, objective, and quantitative neurophysiologic method based on the anatomic knowledge of breast innervation and the congruent areas of dermatomal maps. An innovative application of dermatomal somatosensory evoked potentials was used to study the breast regions of 42 healthy women, bilaterally. The areas stimulated in each breast were the superior quadrant, the nipple-areola complex and the medial and lateral quadrants, and the inferior quadrant; these areas correspond to T3, T4, and T5 dermatomes, respectively, following the accepted concepts of segmentary innervation of the skin. The two groups of 21 patients each were formed according to breast size: group I comprised small-breasted, unoperated controls (brassiere cup size A or B); group II comprised macromastia patients (brassiere cup size C or greater) who presented to a general plastic surgery department for breast reduction surgery. First the authors established the normal range of latency and amplitude in the dermatomal somatosensory evoked potentials for the five areas stimulated in patients with small breasts and compared these parameters with those o...Continue Reading

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Citations

Apr 30, 2008·Aesthetic Plastic Surgery·Arturo PradoFranciso Parada
Aug 21, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jessica GahmMarie Wickman
Oct 30, 2013·Plastic and Reconstructive Surgery·Benedetto LongoFabio Santanelli
May 9, 2014·The Journal of Sexual Medicine·Dany CordeauFrédérique Courtois
Dec 2, 2010·The Breast Journal·Jakob LagergrenPer Hansson
Sep 1, 2015·Aesthetic Surgery Journal·Edgard S GarciaLydia M Ferreira
Jan 2, 2007·Annals of Plastic Surgery·Rafic Kuzbari, I Schlenz
Jan 13, 2006·Plastic and Reconstructive Surgery·Martina I OkwuezeR Bruce Shack
Dec 15, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Ennie BijkerkStefania M H Tuinder
Jan 23, 2020·Aesthetic Surgery Journal·Jairo Zacchê de SáJosé Lamartine de Andrade Aguiar

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