Recovery of Sensation in the Radial Forearm Free Flap in Oral Reconstruction

Vriens, J.P.M.; Acosta, Rafael; Soutar, David S.; Webster, M.H.C.

doi:10.1097/00006534-199609001-00008

Cited by 91 publications

(69 citation statements)

References 15 publications

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“…Conversely, somatosensory disturbances in patients with prolonged oral intubation were less than those reported for patients with head and neck cancer post-reconstruction [16,17], Parkinson disease [18,19], and stroke [18]. Specifically, patients after oral intubation experienced diminished light touch sensation (2.4-1.8 vs. 5.7-5.9 for post-reconstruction head/neck cancer patients), two-point discrimination (3.2-2.3 vs. 11.7-12 mm for head/neck cancer patients), and compromised oral stereognostic ability (0.4-0.8 vs. 0.6 for Parkinson and 0.5 for stroke patients) [16][17][18][19].…”

Section: Tongue Somatosensory Function Following Prolonged Oral Intubcontrasting

confidence: 58%

Tongue Weakness and Somatosensory Disturbance Following Oral Endotracheal Extubation

Hsiao

et al. 2015

Dysphagia

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The tongue plays important roles in mastication, swallowing, and speech, but its sensorimotor function might be affected by endotracheal intubation. The objective of this pilot study was to describe disturbances in the sensorimotor functions of the tongue over 14 days following oral endotracheal extubation. We examined 30 post-extubated patients who had prolonged (≥48 h) oral endotracheal intubation from six medical intensive care units. Another 36 patients were recruited and examined from dental and geriatric outpatient clinics served as a comparison group. Tongue strength was measured by the Iowa Oral Performance Instrument. Sensory disturbance of the tongue was measured by evaluating light touch sensation, oral stereognosis, and two-point discrimination with standardized protocols. Measurements were taken at three time points (within 48 h, and 7 and 14 days post-extubation) for patients with oral intubation but only once for the comparison group. The results show that independent of age, gender, tobacco used, and comorbidities, tongue strength was lower and its sensory functions were more impaired in patients who had oral intubation than in the comparison group. Sensory disturbances of the tongue gradually recovered, taking 14 days to be comparable with the comparison group, while weakness of the tongue persisted. In conclusion, patients with oral endotracheal intubation had weakness and somatosensory disturbances of the tongue lasting at least 14 days from extubation but whether is caused by intubation and whether is contributed to postextubation dysphagia should be further investigated.

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Section: Tongue Somatosensory Function Following Prolonged Oral Intubcontrasting

confidence: 58%

Tongue Weakness and Somatosensory Disturbance Following Oral Endotracheal Extubation

Hsiao

et al. 2015

Dysphagia

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“…7,9,15 However, sensory recovery is usually not complete, and it depends on residual nerve population. 16 Therefore, large noninnervated flaps for large defects may have worse sensory recovery than small and thin flaps.…”

Section: Discussionmentioning

confidence: 99%

Reinnervated anterolateral thigh flap for tongue reconstruction

Yu¹

2004

Head & Neck

105

115

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“…[6][7][8] It has been demonstrated that excellent sensory recovery can be achieved by providing radial forearm flaps with sensory innervation by means of nerve anastomosis, [9][10][11] but spontaneous recovery of sensation has also been reported. 6,12 However, the relationship between sensory innervation and function has yet to be clearly established.…”

Section: Discussionmentioning

confidence: 99%