Recovery of sensation in the skin of non-innervated radial flaps after subfascial and suprafascial dissection

被引：5

作者：

Avery, C. M. E. ^{[1
]}

Iqbal, M. ^{[1
]}

Hayter, J. P. ^{[1
]}

机构：

[1] Univ Hosp Leicester NHS Trust, Dept Maxillofacial Surg, Leicester LE1 5WW, Leics, England

来源：

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY | 2006年 / 44卷 / 03期

关键词：

sensation; innervation; surgical flaps; reconstruction; oral;

D O I：

10.1016/j.bjoms.2005.06.009

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

We compared the extent of recovery of sensation in 40 non-innervated radial free flaps, 20 of which had been raised subfascially and 20 suprafascially. We found no significant difference in sensory recovery between the two groups. The mean extent of sensory recovery was light Much (68%): sharp touch (84%): warm (29%) and cold (40%) temperature: and static (25%) and moving (31%) two-point discrimination. Nearly all the flaps responded to at least one stimulus (excluding two-point discrimination) and half of them to three or more. Sharp touch sensation in the flap was similar to that in the surrounding tissues and light touch was less sensitive. There was no dysaesthesia. Recovery was not related to sex. age. alcohol consumption. or site of reconstruction. Smoking and radiotherapy had a slight effect. (C) 2005 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：213 / 216

页数：4

共 24 条

[1] Suprafascial dissection of the radial forearm flap and donor site morbidity [J].

Avery, CME ;

Pereira, J ;

Brown, AE .

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2001, 30 (01) :37-41

[2] REINNERVATED LATERAL ANTEBRACHIAL CUTANEOUS NEUROSOME FLAPS IN ORAL RECONSTRUCTION - ARE WE MAKING SENSE [J].

BOYD, B ;

MULHOLLAND, S ;

GULLANE, P ;

IRISH, J ;

KELLY, L ;

ROTSTEIN, L ;

BROWN, D .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1994, 93 (07) :1350-1359

[3]

Chang SCN, 1996, MICROSURG, V17, P136

[4]

CLOSE LG, 1995, ARCH OTOLARYNGOL, V121, P967

[5]

DELLON A L, 1986, Journal of Reconstructive Microsurgery, V2, P123, DOI 10.1055/s-2007-1007013

[6]

DELLON AL, 1982, CLIN ORTHOP RELAT R, P75

[7] Sensory changes in the territory of the lingual and inferior alveolar nerves following lower third molar extraction [J].

Eliav, E ;

Gracely, RH .

PAIN, 1998, 77 (02) :191-199

[8] SENSIBILITY AND CUTANEOUS REINNERVATION IN FREE FLAPS [J].

HERMANSON, A ;

DALSGAARD, CJ ;

ARNANDER, C ;

LINDBLOM, U .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1987, 79 (03) :422-425

[9] SENSIBILITY AND CUTANEOUS REINNERVATION OF PECTORALIS MAJOR MYOCUTANEOUS ISLAND FLAPS - A PRELIMINARY CLINICAL REPORT [J].

HOPPENREIJS, TJM ;

FREIHOFER, HPM ;

BROUNS, JJA ;

BRUASET, I ;

MANNI, JJ .

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 1990, 18 (06) :237-242

[10] Intraoral reconstruction with innervated forearm flap - A comparison of sensibility and reinnervation in innervated versus noninnervated forearm flap [J].

Katou, F ;

Shirai, N ;

Kamakura, S ;

Ohki, H ;

Motegi, K ;

Andoh, N ;

Date, F ;

Nagura, H .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1995, 80 (06) :638-644

← 1 2 3 →