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Comparison of Neurosensory Assessment Methods in Plastic Surgery

Karagoz, Huseyin MD, PhD; Ozturk, Sinan MD; Siemionow, Maria MD, PhD, DSc

doi: 10.1097/SAP.0000000000000855
Peripheral Nerve Surgery and Research

Sensory assessment of the skin is essential to document the function of the sensory fibers of the tested nerves. The Semmes-Weinstein monofilaments, disk-criminator, electrodiagnostic testing, and Pressure-Specified Sensory Device (PSSD) have been currently used to assess sensory function of peripheral nerves. None of these methods is optimal because of different drawbacks; however, an increasing number of articles, which recognize the reliability of PSSD, have been published during the last decade. In this review, following a short overview on basic physiology and assessment methods of the skin sensory receptors, we compared the sensory assessment methods and summarized the applications of the PSSD in the field of different clinical areas, mainly peripheral neuropathies, breast, and flap surgery.

From the *Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey; and †Department of Orthopaedic Surgery, University of Illinois at Chicago, College of Medicine, Chicago, IL.

Received February 12, 2016, and accepted for publication, after revision May 17, 2016.

Conflicts of interest and sources of funding: none declared.

Reprints: Maria Siemionow, MD, PhD, DSc, University of Illinois at Chicago, Department of Orthopaedics (MC 944), 900 South Ashland Avenue, 3356 MBRB, Chicago, IL 60607. E-mail:

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