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dermatome

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dermatome

 [der´mah-tōm]
1. the area of skin supplied with afferent nerve fibers by a single posterior spinal root.
2. the lateral part of an embryonic somite.
3. an instrument for removing split-thickness skin grafts from donor sites; there are many different kinds, divided into three major types: knife, drum, and motor-driven.
 Dermatomes. Segmental dermatome distribution of spinal nerves to the front, back, and side of the body. C, Cervical segments; T, thoracic segments; L, lumbar segments; S, sacral segments; CX, coccygeal segment. Dermatomes are specific skin surface areas innervated by a single spinal nerve or group of spinal nerves. Dermatome assessment is done to determine the level of spinal anesthesia for surgical procedures and postoperative analgesia when epidural local anesthetics are used. From Thibodeau and Patton, 1999.
drum dermatome a dermatome consisting of a cylindrical drumlike apparatus coated with adhesive that rolls over the skin while a blade moves across the surface and cuts the graft free.
knife dermatome the simplest type of dermatome, which is used to remove grafts by a freehand technique.
motor-driven dermatome a dermatome driven by a power source; motor-driven dermatomes cut with a back-and-forth blade action.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

der·ma·tome

(der'mă-tōm),
1. A power-driven or mechanical instrument used to cut thin sections of epidermis or dermis for grafting, or to excise small lesions.
2. The dorsolateral part of an embryonic somite. Synonym(s): cutis plate
3. The area of skin supplied by cutaneous branches of a single cranial or spinal nerve; neighboring dermatomes can overlap. Synonym(s): dermatomal distribution, dermatomic area
[dermato- + G. tomē, a cutting]
Farlex Partner Medical Dictionary © Farlex 2012

dermatome

(dûr′mə-tōm′)
n.
1. Anatomy An area of skin innervated by sensory fibers from a single spinal nerve.
2. Medicine An instrument used in cutting thin slices of the skin, as for skin grafts.
3. Embryology The part of a mesodermal somite from which the dermis develops.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

der·ma·tome

(dĕr'mă-tōm)
1. An instrument for cutting thin slices of skin for grafting, or excising small lesions.
2. The dorsolateral part of an embryonic somite.
Synonym(s): cutis plate.
3. The area of skin supplied by cutaneous branches from a single spinal nerve; neighboring dermatomes may overlap.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

dermatome

1. A broad knife for taking very thin skin slices of less than full thickness (split skin) for grafting.
2. The area of skin receiving sensation from a nerve entering a single nerve root of the spinal cord.
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005

der·ma·tome

(dĕr'mă-tōm)
1. An instrument for cutting thin slices of skin for grafting, or excising small lesions.
2. The dorsolateral part of an embryonic somite.
Synonym(s): cutis plate.
3. Skin supplied by cutaneous branches from a single spinal nerve.
Medical Dictionary for the Dental Professions © Farlex 2012
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References in periodicals archive
The trigeminal dermatome was most commonly affected in either sex.
Left-sided dermatomes were involved in 17 (56.7%) patients compared to right-sided dermatomes in 13 (43.3%) patients.
Patients were discharged from PACU after sensory regression to S1 dermatome and Bromage 0.
For the simple minded, it may be easy to scoff at the notion of discrete points, hardwired in the dermatomes of the skin on the plane of humanity.
On August 20, 2012, injections of diluted levobupivacaine with dexamethasone were administered in the paravertebral area from the 4th to 10th thoracic dermatome. Therapeutic effect was complemented with transcutaneous electrical nerve stimulation (TENS, 220 Hz, 110 [mu]s).
The clinical presentations of SSEH are characteristic of sudden onset of severe neck and/or back pain often radiating to corresponding dermatome. Motor and/or sensory deficits caused by compression of nerve roots and spinal cord follow and progress within several hours depending on the levels of lesions.
The pain was somewhat diffused and was most sensitive along all the dermatomes below the elbow.
The sensorial block was measured at the midclavicular line with a pinprick test (via a 22 gauge hypodermic needle) at 1 min intervals until the maximum block was achieved and at 15 min intervals thereafter until the block resolved to S3 dermatome. The motor block was measured when the maximum dermatomal spread was achieved using the modified Bromage scale (0: no motor block, 1: hip blocked, 2: hip and knee blocked, and 3: hip, knee, and ankle blocked).
As an alternative, a dermatome can be used to harvest the skin graft.
Although 72% recorded the upper sensory dermatome blocked, only 71% of these mentioned the test modality and 57% whether this test was bilateral.
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