Intraoperative Mapping of Sensate Flaps: Electrophysiologic Techniques and Neurosomal Boundaries

Rhee, John S.; Weisz, Donald J.; Hirigoyen, Martin B.; Sinha, Uttam K.; Alcaraz, Nelson; Urken, Mark L.

doi:10.1001/archotol.1997.01900080055006

Cited by 13 publications

(10 citation statements)

References 38 publications

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“…20,21 The identification of the sensory nerve supply to the skin paddles of the iliac, scapular, and fibular composite flaps will certainly limit the need to transfer a separate cutaneous free flap for the sole purpose of providing sensory potential to the lining of the oral cavity and oropharynx. 22 No VBFFs, however, provide the thin, pliable, sensate, and independently mobile skin of a radial forearm flap. 23 Despite the many advances in VBFF transfers for oromandibular reconstruction, numerous misperceptions of this technique have been propagated in the literature.…”

Section: Commentmentioning

confidence: 99%

Oromandibular Reconstruction Using Microvascular Composite Flaps

Urken¹,

Buchbinder²,

Costantino³

et al. 1998

Arch Otolaryngol Head Neck Surg

394

288

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The success of the use of vascularized bone free flaps in restoring continuity to the mandible is clearly demonstrated in this series. There was an acceptable incidence of donor- and recipient-site complications that resulted in minimal long-term morbidity. The careful selection of a donor site(s) for oromandibular reconstruction allows for an optimal restoration of bony and soft tissue defects. Dental implants can be safely used in oromandibular reconstruction with a high level of success. Placing these implants during the initial surgery shortens the duration for achieving dental rehabilitation and enhances the success of the implants when postoperative radiotherapy is administered.

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Section: Commentmentioning

confidence: 99%

Oromandibular Reconstruction Using Microvascular Composite Flaps

Urken¹,

Buchbinder²,

Costantino³

et al. 1998

Arch Otolaryngol Head Neck Surg

394

288

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“…Restoration of sensibility should be, therefore, one of the important components of the functional rehabilitation of glossectomy defects. This would require transfer of a composite functional unit with its own vascular supply (angiosome 5,6 ) and innervated by a sensory nerve (neurosome 3,4 ). Taylor et al, 3 in detailed cadaveric studies, demonstrated various neurovascular territories of the body.…”

Section: Commentmentioning

confidence: 99%

Sensate Radial Forearm Free Flaps in Tongue Reconstruction

Kuriakose¹,

Loree²,

Spies³

et al. 2001

Arch Otolaryngol Head Neck Surg

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“…Additionally, the distribution boundaries of forearm cutaneous nerves are still unclear when used for forearm vascular-neurotrophic flap transplantation. To this end, Rhee et al used mechanical stimulation to detect the extent of LACN innervations and demonstrated a larger range than described previously through gross anatomy dissections [14–16]. Therefore, detailed studies of the cutaneous nerve distribution pattern of the forearm are necessary.…”

Section: Introductionmentioning

confidence: 99%

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction

Zhu

et al. 2019

PLoS ONE

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This study aimed to reveal the distribution pattern of antebrachial cutaneous nerves and provide a morphological basis for sensory reconstruction during flap transplantation. Forearm specimens containing skin and subcutaneous fat were obtained from 24 upper extremities of 12 adult cadavers. Cutaneous nerves were visualized using modified Sihler's staining. Then the data was used to show the distribution pattern and innervation area of the forearm cutaneous nerve. The anterior branch of lateral antebrachial cutaneous nerve innervates 26% of the medial anterior forearm; the posterior branch innervates 38.21% of the lateral anterior forearm and 24.46% of the lateral posterior forearm. The anterior branch of medial antebrachial cutaneous nerve innervates the medial aspect of the forearm covering 27.67% of the anterior region; the posterior branch the lateral part of the forearm covering 7.67% and 34.75% of the anterior and posterior regions, respectively. The posterior antebrachial cutaneous nerve covers 41.04% of the posterior forearm. Coaptations were found between the branches of these cutaneous nerves. The relatively dense secondary nerve branches were found in the middle 1/3 of the lateral anterior forearm and the middle 1/3 of the medial posterior forearm. The relatively dense tertiary nerve branches were the middle 1/3 and lower 1/3 of the medial anterior forearm. The intradermal nerve branches were the relatively dense in the middle 1/3 of the medial anterior and lateral posterior forearm. The middle 1/3 of the medial and lateral forearm had the relatively dense total nerve branches. These results can be used sensory matching while designing forearm flaps for reconstruction surgeries to obtain improved recovery of sensory.

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Intraoperative Mapping of Sensate Flaps: Electrophysiologic Techniques and Neurosomal Boundaries

Cited by 13 publications

References 38 publications

Oromandibular Reconstruction Using Microvascular Composite Flaps

Oromandibular Reconstruction Using Microvascular Composite Flaps

Sensate Radial Forearm Free Flaps in Tongue Reconstruction

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction

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