Neurovascular island flap by the disconnecting-reconnecting technique

Adani, Roberto; Pancaldi, G; Castagnetti, Claudio; Zanasi, S.; Squarzina, P. B.

doi:10.1016/0266-7681(90)90050-e

Cited by 19 publications

(10 citation statements)

References 9 publications

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“…The modified Littler flap is a regional flap innervated by the DBPDN and PDN. Due to these two nerves in the flap, the mean value of static 2-PD (5.1 mm) is better than that of the traditional Littler flap (7.5 mm) and modified Adani flap (9.4 mm) (Adani et al, 1990;Delikonstantinou et al, 2011). In addition, the reconstructed pulp exhibits similar texture and colour as the donor site and is superior to dorsal skin flaps.…”

Section: Discussionmentioning

confidence: 93%

Modified Littler flap for sensory reconstruction of large thumb pulp defects

Wang

Yang

Chen

et al. 2018

J Hand Surg Eur Vol

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Section: Discussionmentioning

confidence: 93%

Modified Littler flap for sensory reconstruction of large thumb pulp defects

Wang

Yang

Chen

et al. 2018

J Hand Surg Eur Vol

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“…Although this has been considered as "not a major problem," 4 we have found it to be a factor in thumb exclusion in two cases in our comparative study of the classic Littler flap and neurotized flaps. 2 Among the 12 cases in which the Littler flap was used, 22 percent had sensibility entirely referred to the donor finger; 39 percent partly to both the donor and recipient digits (close to the 41 per-cent mentioned by Adani and colleagues in a series of 17 cases 1 ); and 39 percent referred sensibility only to the recipient finger (but even in these patients, painful stimulation with a safety pin was referred to the donor). The mean 2-PD was 6.3 mm, with one 48-year-old patient having no discrimination.…”

Section: Guy Fouchermentioning

confidence: 62%

Resurfacing of Thumb‐pulp Loss with a Heterodigital Neurovascular Island Flap Using a Nerve Disconnection/Reconnection Technique

Kumta¹,

Yip²,

Pannozzo³

et al. 1997

J reconstr Microsurg

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The problems of late deterioration of sensation and a "double sensibility" phenomenon, either in the thumb or donor finger, are a known deficiency of the conventional heterodigital neurovascular island flap. This is probably related to unsatisfactory cortical reorientation following flap transfer. To obviate this problem, the authors have used a disconnection/reconnection technique for heterodigital island flaps in 17 patients, to resurface defects in the skin of the thumb. All patients were followed-up for 1 year, while 15 were followed-up for 2 years or more. There were no flap complications or failures, and the length of the thumb tip was preserved in all cases. The classic two-point discrimination was less than 6 mm in eight of these patients, and the remaining nine patients had two-point discrimination of between 6 and 8 mm. This technique was found to provide sensitive, supple, and well-vascularized skin with proper cortical representation, to replace the loss of the tactile pump of the thumb tip in one operative stage.

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“…For poor somatosensory cortex integration, Foucher et al [22] proposed a disconnectionreconnection technique to limit this complication when using heterodigital neurovascular island flaps. Adani and Oka [23,24] obtained better results in terms of cortical integration with Foucher's technique. There is a risk that discrimination sensibility will be reduced due to the disconnectionreconnection.…”

Section: Discussionmentioning

confidence: 91%