V.F. Baytinger, K.A. Silkona, O.S. Kurochkina FUNCTIONAL ASSESSMENT OF TACTILE SENSITIVITY OF NIPPLE-AREOLA COMPLEX, BREAST SKIN AND POTENTIAL DONOR ZONE FOR RECONSTRUCTION OF NIPPLE-AREOLA COMPLEX | Issues of reconstructive and plastic surgery. 2016. № 4 (59). DOI: 10.17223/1814147/59/02

V.F. Baytinger, K.A. Silkona, O.S. Kurochkina FUNCTIONAL ASSESSMENT OF TACTILE SENSITIVITY OF NIPPLE-AREOLA COMPLEX, BREAST SKIN AND POTENTIAL DONOR ZONE FOR RECONSTRUCTION OF NIPPLE-AREOLA COMPLEX

The study results of tactile sensitivity of nipple-areola complex (NAC), of skin female breast in the area of 4 quadrants, of shoulder medial surface skin (potential donor zone for NAC reconstruction using directed isogenic afferent reinnervation via the shoulder medial skin nerve (n. cutaneus brachii medialis) are presented in the article. Two groups of women-volunteers aged 25-59 years were formed: parous and non-parous ones. All parous women were breastfeeding within one year. Depth and complexity of breast skin and NAC and of the skin in the area of breast quadrants as well as those of the skin sensitivity of shoulder medial surface were assessed using three tests: 1) test on tactile sensitivity using a cotton ball (afferent free nervous endings); 2) threshold monofilament SemmesWeinstein` s test (specialized rapidly adapting encapsulated nerve endings); 3) E.N. Weber`s test to assess complex spatial tactile sensitivity (slowly conducting encapsulating nervous endings). Сonclusion: High level of complex spatial tactile sensitivity was registered in the NAC zone more often than in the area of breast skin. High level of complex tactile sensitivity is observed more often in women who were not breastfeeding, than in breastfeeding women. High complex sensitivity of the skin was registered in the outer-lower quadrant more often.

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Keywords

сосково-ареолярный комплекс, кожа груди, кожа медиальной поверхности плеча, тактильная чувствительность, тест Semmes-Weinstein, тест Weber, nipple-areola complex, breast skin, shoulder medial surface skin, tactile sensitivity, the Semmes-Weinstein test, the Weber test

Authors

NameOrganizationE-mail
Baytinger V.F.
Silkona K.A.silkinakrisyina@gmail.com
Kurochkina O.S.
Всего: 3

References

Байтингер В.Ф., Силкина К.А., Байтингер А.В, Фёдоров Е.В. Total Breast Reconstruction: от неприятия до золотого стандарта // Вопр. реконстр. и пласт. хирургии. - 2014. - № 3 (50). - С. 5-19.
Здравомыслов В.И. Сексология: Энциклопедический справочник по сексологии и смежным областям. Беларус. энцэкл.; Редкол.: Б.М. Ворник и др. - 3-е изд. - Минск: БелЭн, 1995. - С. 338-340.
Куклин И.А., Зеленин В.Н. Как определить объем молочной железы // Пласт. хирургия и косметология. - 2011. - № 1. - С. 61-70.
Blondeel P.N., Demuynk M., Mete D. et al. Sensory nerve repair in perforator flaps for autologous breast reconstruction: sensational or senseless? // Brit. J. Plast. Surg. - 1999. - V. 52, № 1. - P. 37-44.
Eckhard C. Die Nerven der weiblichen Brustdruse und ihr Einfluss auf die Milchsecretion // Beitr. Anat. Physiol. - 1851. - Bd. 1. - S. 1-9.
Farina M.A., Newbay B.G., Alani H.M. Innervation of the nipple-areola complex // Plast. Reconstr. Surg. - 1980. - V. 60. - P. 497-501.
Godwin Y., Valassiadou K., Lewis S. et al. Investigation into the possible cause of subjective decreased sensory perception in the nipple-areola complex of women with macromastia // Plast. Reconstr. Surg. - 2004. - V. 113, № 6. - P. 1598-1606.
Gonzalez F.F.E., Brown F.E., Gold M.E. et al. Preoperative and postoperative nipple-areola sensibility in patients undergoing reduction mammoplasty // Plast. Reconstr. Surg. - 1993. - V. 92, № 5. - P. 809-814.
Greuze M., Hamdi M., DeMey A. Breast sensitivity after vertical mammoplasty // Plast. Reconstr. Surg. - 2001. - V. 107, № 4. - P. 970-976.
Hamdi M., Greuze M., Nemec E. et al. Breast sensation after superior pedicle versus inferior pedicle mammoplasty: anatomical and histological evaluation // Brit. J. Plast. Surg. - 2001. - V. 54, № 1. - P. 43-46.
Hyza P. et al. New technique of immediate autologous DIEP or MS-TRAM breast reconstruction // Ann. Plast. Surg. - 2015. - V. 74. - P. 645-651.
Jaspars J.J., Posma A.N., van Immerseel A.A. et al. The cutaneous innervation of the female breast and nippleareola complex: implications for surgery // Brit. J. Plast. Surg. - 1997. - V. 50, № 4. - P. 249-259.
Kuzbari R., Schlenz J. Reduction mammoplasty and sensitivity of the nipple-areola complex: sensuality versus sexuality? // Ann. Plast. Surg. - 2007. - V. 58, № 1. - P. 3-11.
Robinson J.E., Short R.V. Changes in breast at puberty, during the menstrual cycle, and at parturition // Brit. Med. J. - 1977. - V. 7, № 1. - P. 1188-1191.
Sarhadi N.S., Shaw-Duun J., Lee F.D. et al. A dissection study of the nerve supply to the breast, nipple and areola // Brit. J. Plast. Surg. - 1996. - V. 49. - P. 156-164.
Sarhadi N.S., Shaw-Dunn J. and Soutar D.S. Nerve supply of the breast with special reference to the nipple and areola: Sir Astley Cooper revisted // Clin. Anat. - 1997. - V. 10. - P. 283-288.
Schlenz J., Kuzbari R., Gruber H. et al. The sensitivity of nipple-areola complex: an anatomy study // Plast. Reconstr. Surg. - 2000. - V. 105, № 3. - P. 905-909.
Semmes J., Weinstein S. et al. Somatosensory changes after penetrating brain wounds in man. - Cambridge: Harvard University Press for the Commonwealth Fund., 1960. Вопросы реконструктивной и пластической хирургии № 4 (59) декабрь’2016
Shaw W.W., Orringer J.S., Ko C.Y. et al. The spontaneous return of sensibility in breasts reconstructed with autologous tissue // Plast. Reconstr. Surg. - 1977. - V. 99. - P. 394-399.
Tairych G.V., Kuzbari R., Rigel S. et al. Normal cutaneous sensibility of the breast // Plast. Reconstr. Surg. - 1988. - V.102, № 2. - P. 701-704.
Terzis J.K., Vincent M.P., Wilkins L.M. et al. Breast sensibility: a neurophysiological appraisal in the normal breast // Ann. Plast. Surg. - 1987. - V. 19. - P. 318-322.
Verrillo R.T., Gescheider G.A. Enhancement and summation in the reception of two successive vibrotactile stimuli // Percept. Psychophys. - 1975. - V. 18. - P. 128-136.
Weber E.N. Ueber den Tastsinn // Arch. Anat. Physiol. - 1835. - S. 152-159.
Weinstein S. Fifty years of somatosensory research: from the Semmes-Weinstein monofilaments to the Weinstein Enhanced Sensory Test [discussion 50] // Hand Ther. - 1993. - V. 6. - P. 11-22.
 V.F. Baytinger, K.A. Silkona, O.S. Kurochkina FUNCTIONAL ASSESSMENT OF TACTILE SENSITIVITY OF NIPPLE-AREOLA COMPLEX, BREAST SKIN AND POTENTIAL DONOR ZONE FOR RECONSTRUCTION OF NIPPLE-AREOLA COMPLEX | Issues of reconstructive and plastic surgery. 2016. № 4 (59). DOI: 10.17223/1814147/59/02

V.F. Baytinger, K.A. Silkona, O.S. Kurochkina FUNCTIONAL ASSESSMENT OF TACTILE SENSITIVITY OF NIPPLE-AREOLA COMPLEX, BREAST SKIN AND POTENTIAL DONOR ZONE FOR RECONSTRUCTION OF NIPPLE-AREOLA COMPLEX | Issues of reconstructive and plastic surgery. 2016. № 4 (59). DOI: 10.17223/1814147/59/02