Klinische Ergebnisse der Resensibilisierung von Radialislappen und Musculus-latissimusdorsi-Transplantaten
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Klinische Ergebnisse der Resensibilisierung von Radialislappen und Musculus-latissimusdorsi-Transplantaten. / Vesper, M; Heiland, M; Flinzberg, S; Schmelzle, R.
In: Mund Kiefer Gesichtschir, Vol. 6, No. 5, 01.09.2002, p. 323-30.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Klinische Ergebnisse der Resensibilisierung von Radialislappen und Musculus-latissimusdorsi-Transplantaten
AU - Vesper, M
AU - Heiland, M
AU - Flinzberg, S
AU - Schmelzle, R
PY - 2002/9/1
Y1 - 2002/9/1
N2 - BACKGROUND: The necessity of nerve anastomosis in an attempt to regain cutaneous sensitivity following flap transfer has been the basis of many discussions. In our study, we investigated the degree of sensory recovery with emphasis on the different nerval qualities on the radial forearm and the latissimus dorsi flap. COLLECTIVE: Sixty-two patients with 66 latissimus dorsi flaps and 19 patients with a radial forearm free flap were examined.RESULTS: Except for five latissimus dorsi and two radial forearm flaps, all flaps investigated showed clinical signs of sensory recovery, whereby the degree and quality of cutaneous reinnervation varied. In comparison, neural reconstruction did not lead to any clinical improvement.CONCLUSION: Based on our clinical results, we consider nerve reconstruction during radial forearm and latissimus dorsi free flap transfer unnecessary. To what extent this can be said for other flaps requires further investigation.
AB - BACKGROUND: The necessity of nerve anastomosis in an attempt to regain cutaneous sensitivity following flap transfer has been the basis of many discussions. In our study, we investigated the degree of sensory recovery with emphasis on the different nerval qualities on the radial forearm and the latissimus dorsi flap. COLLECTIVE: Sixty-two patients with 66 latissimus dorsi flaps and 19 patients with a radial forearm free flap were examined.RESULTS: Except for five latissimus dorsi and two radial forearm flaps, all flaps investigated showed clinical signs of sensory recovery, whereby the degree and quality of cutaneous reinnervation varied. In comparison, neural reconstruction did not lead to any clinical improvement.CONCLUSION: Based on our clinical results, we consider nerve reconstruction during radial forearm and latissimus dorsi free flap transfer unnecessary. To what extent this can be said for other flaps requires further investigation.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Carcinoma, Squamous Cell
KW - Child
KW - Child, Preschool
KW - Female
KW - Head and Neck Neoplasms
KW - Humans
KW - Male
KW - Microsurgery
KW - Middle Aged
KW - Nerve Regeneration
KW - Sensory Receptor Cells
KW - Surgical Flaps
KW - Thoracic Neoplasms
M3 - SCORING: Zeitschriftenaufsatz
C2 - 12448235
VL - 6
SP - 323
EP - 330
IS - 5
ER -