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Plastic Surgery InternationalVolume 2013 2013, Article ID 643061, 7 pages

Clinical Study

İzmir Katip Celebi University, Ataturk Research and Training Hospital, Department of Plastic and Reconstructive Surgery, 35360 Izmir, Turkey

Sisli Hamidiye Etfal Research and Training Hospital, Department of Plastic and Reconstructive Surgery, 34371 Istanbul, Turkey

Abant İzzet Baysal University, Department of Plastic and Reconstructive Surgery, 14280 Bolu, Turkey

Private Practice, Plastic Surgeon, 35590 Izmir, Turkey

Received 3 October 2013; Accepted 24 October 2013

Academic Editor: Francesco Carinci

Copyright © 2013 Meltem Ayhan Oral et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This study compares sensory recovery after total lower lip reconstruction in a widevariety 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.





Autor: Meltem Ayhan Oral, Kamuran Zeynep Sevim, Metin Görgü, and Hasan Yücel Öztan

Fuente: https://www.hindawi.com/



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