Recovery of sensation in the skin of non-innervated radial flaps after subfascial and suprafascial dissection
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 touch (68%); sharp touc...
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| Veröffentlicht in: | British journal of oral & maxillofacial surgery 2006-06, Vol.44 (3), p.213-216 |
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| container_title | British journal of oral & maxillofacial surgery |
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| creator | Avery, C.M.E. Iqbal, M. Hayter, J.P. |
| description | 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 touch (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. |
| doi_str_mv | 10.1016/j.bjoms.2005.06.009 |
| format | Article |
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We found no significant difference in sensory recovery between the two groups. The mean extent of sensory recovery was light touch (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. 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We found no significant difference in sensory recovery between the two groups. The mean extent of sensory recovery was light touch (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. 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Stomatology</subject><subject>Reconstruction</subject><subject>Recovery of Function</subject><subject>Sensation</subject><subject>Sensation - physiology</subject><subject>Surgical flaps</subject><subject>Surgical Flaps - innervation</subject><subject>Surgical Flaps - physiology</subject><subject>Touch - physiology</subject><issn>0266-4356</issn><issn>1532-1940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo7uzqLxAkF711m3QmXwcPsqgrLAii51CdVGPG7mRMegb235txRvbmKZWqp16Kh5BXnPWccfVu14-7vNR-YEz2TPWM2Sdkw6UYOm637CnZsEGpbiukuiLXte5YAwcun5MrrpjigtkNWb6hz0csDzRPtGKqsMacaEx0_Ym0_mpFG6ScupgSliOsGGiBEGGm0wz7SmFasdB6GCeo_tSGFNp3X-BfI8Ra0Z9yX5BnE8wVX17eG_Lj08fvt3fd_dfPX24_3HdeGL12NmDYSuDD6IMNCgJKPXpQVgkQVjHJJ6-lN8pYORrjtfdoYGCjtjrgYMQNeXvO3Zf8-4B1dUusHucZEuZDdUpbYZTcNlCcQV9yrQUnty9xgfLgOHMny27n_lp2J8uOKdcst63Xl_jDuGB43LlobcCbC9AUwDwVSD7WR05rM0jGG_f-zGGTcYxYXDOGyWOIpRlzIcf_HvIHiw6ePA</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Avery, C.M.E.</creator><creator>Iqbal, M.</creator><creator>Hayter, J.P.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060601</creationdate><title>Recovery of sensation in the skin of non-innervated radial flaps after subfascial and suprafascial dissection</title><author>Avery, C.M.E. ; Iqbal, M. ; Hayter, J.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-9ded45a12bcd9d6ade57bca6963a396051fc75c86895b88c7cce8a20b797de283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Innervation</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - surgery</topic><topic>Nerve Regeneration</topic><topic>Oral</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Reconstruction</topic><topic>Recovery of Function</topic><topic>Sensation</topic><topic>Sensation - physiology</topic><topic>Surgical flaps</topic><topic>Surgical Flaps - innervation</topic><topic>Surgical Flaps - physiology</topic><topic>Touch - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avery, C.M.E.</creatorcontrib><creatorcontrib>Iqbal, M.</creatorcontrib><creatorcontrib>Hayter, J.P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of oral & maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avery, C.M.E.</au><au>Iqbal, M.</au><au>Hayter, J.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recovery of sensation in the skin of non-innervated radial flaps after subfascial and suprafascial dissection</atitle><jtitle>British journal of oral & maxillofacial surgery</jtitle><addtitle>Br J Oral Maxillofac Surg</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>44</volume><issue>3</issue><spage>213</spage><epage>216</epage><pages>213-216</pages><issn>0266-4356</issn><eissn>1532-1940</eissn><coden>BJOSEY</coden><abstract>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. 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| fulltext | fulltext |
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| ispartof | British journal of oral & maxillofacial surgery, 2006-06, Vol.44 (3), p.213-216 |
| issn | 0266-4356 1532-1940 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Biological and medical sciences Dentistry Humans Innervation Medical sciences Middle Aged Mouth Neoplasms - surgery Nerve Regeneration Oral Otorhinolaryngology. Stomatology Reconstruction Recovery of Function Sensation Sensation - physiology Surgical flaps Surgical Flaps - innervation Surgical Flaps - physiology Touch - physiology |
| title | Recovery of sensation in the skin of non-innervated radial flaps after subfascial and suprafascial dissection |
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