Comparative study on sensory recovery after oral cavity reconstruction by free flaps: preliminary results

Cicconetti, Andrea; Matteini, Claudio; Cruccu, G.; Romaniello, A.

doi:10.1054/jcms.2000.0119

Cited by 11 publications

(12 citation statements)

References 16 publications

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“…In our patients, sensation to touch was noted as soon as 3 months after surgery in patients with Nakajima and Karapandzic fan flaps and as late as 24 months postoperatively in radial forearm free flaps [18]. …”

Section: Discussionmentioning

confidence: 99%

Sensory Recovery with Innervated and Noninnervated Flaps after Total Lower Lip Reconstruction: A Comparative Study

Oral

Sevim

Görğü

et al. 2013

Plastic Surgery International

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This study compares sensory recovery after total lower lip reconstruction in a wide variety of flaps including bilateral depressor anguli oris flap, submental island flap, bilateral fan flaps, radial forearm flap, and pectoralis major myocutaneous flaps in a large number of patients. Spontaneous return of flap sensation was documented by clinical testing in the majority (3%) of patients who underwent total lower lip reconstruction. Sensory recovery occurred more often in patients with fasciocutaneous free flaps than in those with musculocutaneous flaps. Flap sensation to touch, two-point discrimination, and temperature perception was correlated with age, smoking, and radiation treated patients. We conclude that reasonable sensory recovery may be expected in noninnervated flaps, provided that the major regional sensorial nerve has not been sacrificed, and also provided that the patients age is relatively young and that enough surface contact area of the recipient bed is present without marked scarring. This trial was regestered with Chinese Clinical Trial Registry (Chi CTR) with ChiCTR-ONC-13003656.

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Section: Discussionmentioning

confidence: 99%

Sensory Recovery with Innervated and Noninnervated Flaps after Total Lower Lip Reconstruction: A Comparative Study

Oral

Sevim

Görğü

et al. 2013

Plastic Surgery International

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show abstract

“…A number of authors have reported successful sensory recovery using innervated free flaps in oral and oropharyngral reconstruction 2,7,10,14,20 . In contrast, spontaneous recovery of sensation in noninnervated flaps has also been reported 3,4,13,23 .…”

mentioning

confidence: 98%

Sensory recovery of noninnervated free flap in oral and oropharyngeal reconstruction

Sabesan

Ramchandani

Ilankovan

2008

International Journal of Oral and Maxillofacial Surgery

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“…It becomes unaccepted to provide basic reconstruction for resulted defect without restoration of sensory function [12]. Cicconetti, et al stated that absence of sensory stimulation in the anterior of the tongue my leads to food retention and drooling after reconstruction of defects on this area, Whereas Dysphagia and aspiration are the most common problems that occurred after reconstruction of posterior tongue [10]. However, sensory return could improve functions and dietary variety as well as reduce cough and adaptive maneuvers [4].…”

Section: Importance Of Sensory Recovery After Reconstruction Of Tonguementioning

confidence: 99%

Sensory Recovery of Free Flaps Used in Reconstruction of Tongue after Resection of Squamous Cell Carcinoma: What Factors Could Influence the Process?

Abdullah,

Eslah

2023

Res Rep Oral Maxillofac Surg

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Background: Reconstruction of defects after resection of tongue squamous cell carcinoma (TSCC) becomes an insurmountable thing that aims to improve the life quality of patients. Recently, reconstruction procedure not only aims to restore function and bulk of tongue, but also to restore the sensation modalities that increase efficacy of the neotongue. Sensory recovery of neo-tongue remains a very difficult topic that influenced by multiple factors that could delay or diminish sensory recovery process. Until now, no agreement about these factors and their effects, therefore this systematic review was performed to find out factors that could have an impact on sensory recovery of neo-tongue.Methods: A search in five databases (PubMed, science direct, web of science, Cochrane library, Ovid) was released. All articles that related to sensory recovery of neo-tongue were identified.Results: (22) articles were included in our systematic review, in which 310 flaps of different types were performed, where the most performed flaps in the reviewed articles were anterolateral free flap (ALTF) and radial forearm free flaps (RFF). Different degrees of Sensory recovery were reported in association with different types of flaps used in reconstruction; innervated ALTF and RFF flaps were associated with the greatest degree of sensory recovery. Reci-pient nerve also reported to have clear influence on the degree of sensory recovery; lingual nerve and inferior alveo-lar nerve have superiority over other recipient nerves. Patient-related factors (age, gender, and smocking habit), ad-juvant therapies (radiotherapy/chemotherapy), size of resection, and follow-up period all are factors that still a matter of converser.

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Comparative study on sensory recovery after oral cavity reconstruction by free flaps: preliminary results

Cited by 11 publications

References 16 publications

Sensory Recovery with Innervated and Noninnervated Flaps after Total Lower Lip Reconstruction: A Comparative Study

Sensory Recovery with Innervated and Noninnervated Flaps after Total Lower Lip Reconstruction: A Comparative Study

Sensory recovery of noninnervated free flap in oral and oropharyngeal reconstruction

Sensory Recovery of Free Flaps Used in Reconstruction of Tongue after Resection of Squamous Cell Carcinoma: What Factors Could Influence the Process?

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