Dermatomas simpáticos correspondientes a los ganglios T2 y T3. Estudio prospectivo en 100 procedimientos de simpaticolisis torácica superior
Sympathetic dermatomes corresponding to T2 and T3 ganglia. A prospective study of 100 superior thoracic sympathicolytic procedures
J. Moya Amorósa,b,
, J. Prat Ortellsa,b,*, R. Morera Abada, R. Ramos Izquierdoa,b,*, R. Villalonga Badellc, G. Ferrer Recuerdoa
Corresponding author
jmoya@bell.ub.es
jmoya@csub.scs.es
Correspondencia: Servicio de Cirugía Torácica. Hospital Universitari de Bellvitge.Feixa Llarga, s/n. 08907 L'Hospitalet de Llobregat. Barcelona. España
jmoya@csub.scs.es
Correspondencia: Servicio de Cirugía Torácica. Hospital Universitari de Bellvitge.Feixa Llarga, s/n. 08907 L'Hospitalet de Llobregat. Barcelona. España
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"apellidos" => "Moya Amorós" "email" => array:2 [ 0 => "jmoya@bell.ub.es" 1 => "jmoya@csub.scs.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Prat Ortells" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "R." 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"apellidos" => "Ferrer Recuerdo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Universitari de Bellvitge. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Anatomía Humana y Embriología. Facultad de Medicina. Universitat de Barcelona. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Anestesiología y Reanimación. Hospital Universitari de Bellvitge. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital Universitari de Bellvitge.Feixa Llarga, s/n. 08907 L'Hospitalet de Llobregat. Barcelona. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sympathetic dermatomes corresponding to T2 and T3 ganglia. A prospective study of 100 superior thoracic sympathicolytic procedures" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-01-24" "fechaAceptado" => "2002-04-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190538" "palabras" => array:5 [ 0 => "Simpaticolisis torácica superior" 1 => "Simpatectomía" 2 => "Hiperhidrosis primaria" 3 => "Territorio de inervación de los ganglios T2-T3" 4 => "Sudación compensatoria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190537" "palabras" => array:5 [ 0 => "Upper thoracic sympathicolysis" 1 => "Sympathectomy" 2 => "Pri-mary hyperhidrosis" 3 => "Innervation territory of T2-T3 ganglia" 4 => "Com-pensatory sweating" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El sistema nervioso autónomo se expresa en la piel regulando la sudación de las distintas áreas corpo-rales. El área de influencia cutánea correspondiente a los distintos ganglios simpáticos todavía no está claramente de-limitada. El objetivo de este trabajo es definir el territorio de inervación cutáneo correspondiente a los ganglios simpá-ticos T2-T3</p> <span class="elsevierStyleSectionTitle">Pacientes Y Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En 50 pacientes afectados de hiper-hidrosis primaria se llevó a cabo una simpaticolisis torácica endoscópica bilateral sobre los ganglios T2-T3. Todos los enfermos cumplimentaron un cuestionario preoperatorio y otro pasados más de 2 meses de la intervención. En él valo-raban la sudación de distintas áreas del cuerpo. Con la fina-lidad de delimitar la expresión cutánea de T2-T3, sólo he-mos considerado las zonas de anhidrosis</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La denervación obtenida se extiende a las manos (98,11%), axilas (73,58%), brazos (39,62%), frente (20,75%), barbilla, mejillas, cuello y nuca (todos ellos con un 16,98%), zona lateral del tórax (13,2%), zona anterior del tórax (7,54%) y la espalda (1,88%)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El área de influencia de los ganglios sim-páticos T2-T3 es más extensa de la descrita en estudios ana-tómicos clásicos, en cuanto que el territorio cutáneo inerva-do por los ganglios T2-T3 alcanza a zonas de influencia de T1 hasta en un 20,75% de los pacientes afectados de hiper-hidrosis primaria</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The autonomic nervous system adjusts sweating on the body's skin surface. The skin areas corresponding to the va-rious sympathetic ganglia are not yet clearly defined. The purpose of this study was to define the skin areas correspon-ding to the T2 and T3 sympathetic ganglia</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed bilateral thoracic sympathicolysis endoscopically on the T2 and T3 ganglia of 50 patients with primary hyperhidrosis. All answered a questionnaire before surgery and at least two months later. The questionnaire asked about sweating at different points, but in order to estimate the cutaneous projection of T2 and T3 we only analyzed anhidrotic regions</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Denervation resulted in anhidrotic hands (98.11%); axillas (73.58%); arms (39.62%); forehead (20.75%); chin, che-eks, neck and the nape of the neck (16.98%); sides of the chest (13.2%); front of the chest (7.54%); and back (1.88%)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The terribory influenced by the T2 and T3 sympathetic ganglia is more extensive than has been descri-bed by classical anatomical studies. The cutaneous area in-nervated by the sympathetic T2 and T3 ganglia extends to zones influenced by T1 in up to 20.75% of patients with pri-mary hyperhidrosis</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento quirúrgico de la hiperhidrosis primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.T. Moran" 1 => "M.P. Brandy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br J Surg (ed. esp.)" "fecha" => "1991" "volumen" => "5" "paginaInicial" => "573" "paginaFinal" => "582" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 5 | 13 |
| 2024 October | 77 | 52 | 129 |
| 2024 September | 106 | 35 | 141 |
| 2024 August | 79 | 64 | 143 |
| 2024 July | 49 | 68 | 117 |
| 2024 June | 85 | 71 | 156 |
| 2024 May | 65 | 43 | 108 |
| 2024 April | 52 | 28 | 80 |
| 2024 March | 60 | 47 | 107 |
| 2024 February | 60 | 59 | 119 |
| 2024 January | 0 | 28 | 28 |
| 2023 December | 0 | 20 | 20 |
| 2023 November | 0 | 36 | 36 |
| 2023 October | 0 | 24 | 24 |
| 2023 September | 0 | 14 | 14 |
| 2023 August | 0 | 11 | 11 |
| 2023 July | 0 | 15 | 15 |
| 2023 June | 0 | 10 | 10 |
| 2023 May | 0 | 11 | 11 |
| 2023 April | 0 | 12 | 12 |
| 2023 March | 11 | 8 | 19 |
| 2023 February | 44 | 23 | 67 |
| 2023 January | 62 | 37 | 99 |
| 2022 December | 51 | 32 | 83 |
| 2022 November | 51 | 16 | 67 |
| 2022 October | 44 | 34 | 78 |
| 2022 September | 43 | 33 | 76 |
| 2022 August | 43 | 46 | 89 |
| 2022 July | 48 | 33 | 81 |
| 2022 June | 54 | 43 | 97 |
| 2022 May | 31 | 40 | 71 |
| 2022 April | 60 | 26 | 86 |
| 2022 March | 52 | 35 | 87 |
| 2022 February | 39 | 19 | 58 |
| 2022 January | 36 | 35 | 71 |
| 2021 December | 18 | 38 | 56 |
| 2021 November | 38 | 39 | 77 |
| 2021 October | 66 | 36 | 102 |
| 2021 September | 35 | 47 | 82 |
| 2021 August | 30 | 38 | 68 |
| 2021 July | 24 | 27 | 51 |
| 2021 June | 26 | 37 | 63 |
| 2021 May | 31 | 32 | 63 |
| 2021 April | 73 | 66 | 139 |
| 2021 March | 58 | 32 | 90 |
| 2021 February | 58 | 17 | 75 |
| 2021 January | 37 | 23 | 60 |
| 2020 December | 45 | 21 | 66 |
| 2020 November | 15 | 21 | 36 |
| 2020 October | 39 | 14 | 53 |
| 2020 September | 26 | 16 | 42 |
| 2020 August | 37 | 10 | 47 |
| 2020 July | 32 | 20 | 52 |
| 2020 June | 26 | 7 | 33 |
| 2020 May | 19 | 16 | 35 |
| 2020 April | 61 | 14 | 75 |
| 2020 March | 25 | 10 | 35 |
| 2020 February | 33 | 26 | 59 |
| 2020 January | 48 | 26 | 74 |
| 2019 December | 54 | 27 | 81 |
| 2019 November | 23 | 26 | 49 |
| 2019 October | 49 | 44 | 93 |
| 2019 September | 68 | 70 | 138 |
| 2019 August | 24 | 29 | 53 |
| 2019 July | 27 | 32 | 59 |
| 2019 June | 11 | 54 | 65 |
| 2019 May | 15 | 54 | 69 |
| 2019 April | 32 | 94 | 126 |
| 2019 March | 9 | 45 | 54 |
| 2019 February | 15 | 27 | 42 |
| 2019 January | 9 | 19 | 28 |
| 2018 December | 16 | 19 | 35 |
| 2018 November | 29 | 35 | 64 |
| 2018 October | 42 | 29 | 71 |
| 2018 September | 19 | 14 | 33 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 10 | 5 | 15 |
| 2018 March | 5 | 6 | 11 |
| 2018 February | 5 | 9 | 14 |
| 2018 January | 11 | 7 | 18 |
| 2017 December | 9 | 14 | 23 |
| 2017 November | 10 | 24 | 34 |
| 2017 October | 9 | 16 | 25 |
| 2017 September | 7 | 14 | 21 |
| 2017 August | 8 | 29 | 37 |
| 2017 July | 13 | 30 | 43 |
| 2017 June | 16 | 36 | 52 |
| 2017 May | 11 | 24 | 35 |
| 2017 April | 6 | 34 | 40 |
| 2017 March | 8 | 38 | 46 |
| 2017 February | 4 | 43 | 47 |
| 2017 January | 9 | 15 | 24 |
| 2016 December | 11 | 21 | 32 |
| 2016 November | 25 | 31 | 56 |
| 2016 October | 26 | 32 | 58 |
| 2016 September | 30 | 31 | 61 |
| 2016 August | 37 | 26 | 63 |
| 2016 July | 29 | 14 | 43 |
| 2016 June | 36 | 19 | 55 |
| 2016 May | 32 | 20 | 52 |
| 2016 April | 21 | 3 | 24 |
| 2016 March | 16 | 3 | 19 |
| 2016 February | 22 | 8 | 30 |
| 2016 January | 29 | 20 | 49 |
| 2015 December | 33 | 18 | 51 |
| 2015 November | 37 | 15 | 52 |
| 2015 October | 152 | 2 | 154 |
| 2015 September | 158 | 0 | 158 |
| 2015 August | 122 | 0 | 122 |
| 2015 July | 137 | 0 | 137 |
| 2015 June | 100 | 0 | 100 |
| 2015 May | 182 | 0 | 182 |
| 2015 April | 127 | 0 | 127 |
| 2015 March | 140 | 0 | 140 |
| 2015 February | 110 | 0 | 110 |
| 2015 January | 83 | 0 | 83 |
| 2014 December | 120 | 0 | 120 |
| 2014 November | 150 | 0 | 150 |
| 2014 October | 143 | 0 | 143 |
| 2014 September | 128 | 0 | 128 |
| 2014 August | 103 | 0 | 103 |
| 2014 July | 87 | 0 | 87 |
| 2014 June | 104 | 0 | 104 |
| 2014 May | 155 | 0 | 155 |
| 2014 April | 134 | 0 | 134 |
| 2014 March | 114 | 0 | 114 |
| 2014 February | 115 | 0 | 115 |
| 2014 January | 85 | 0 | 85 |
| 2013 December | 82 | 0 | 82 |
| 2013 November | 112 | 0 | 112 |
| 2013 October | 107 | 0 | 107 |
| 2013 September | 88 | 0 | 88 |
| 2013 August | 109 | 0 | 109 |
| 2013 July | 97 | 0 | 97 |
| 2013 June | 64 | 0 | 64 |
| 2013 May | 71 | 0 | 71 |
| 2013 April | 68 | 0 | 68 |
| 2013 March | 9 | 0 | 9 |
| 2000 January | 15891 | 0 | 15891 |
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