✦ LIBER ✦

Sensory topography of the oral cavity and the impact of free flap reconstruction: A preliminary study

✍ Scribed by Karen B. Zur; Eric M. Genden; Mark L. Urken

Publisher: John Wiley and Sons
Year: 2004
Tongue: English
Weight: 558 KB
Volume: 26
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20088

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

The purpose of this prospective randomized study was to (1) assess the computerized pressure‐specific sensory device (PSSD) as a tool for measuring oral cavity sensation, (2) establish a topographic sensory map of the oral cavity, and (3) objectively evaluate postoperative sensory recovery of noninnervated oral cavity free flap reconstruction.

Methods.

Twenty‐three healthy control subjects were recruited to test four intraoral sites and the volar forearm. Sensory scores were evaluated for consistent trends between an established sensory tool, the Semmes Weinstein Monofilament (SWM), and the PSSD. Sensory control values were then compared with those of 18 patients who underwent reconstruction of the oral cavity with a noninnervated microvascular free flap.

Results.

The SWM testing demonstrated the lowest sensory thresholds in the lower lip, followed by the lateral tongue, buccal mucosa, and central tongue. The PSSD also demonstrated the lowest sensory thresholds in the lower lip followed by the lateral tongue; however, the central tongue demonstrated a lower sensory threshold than did the buccal mucosa. The neotongue of patients with noninnervated free flaps demonstrated inferior sensation compared with the native tongue (p < .05).

Conclusions.

We have established normal sensory values for the oral cavity, skin of the volar forearm, and noninnervated free flap tissue within the oral cavity. Although discrepancies exist between the data derived from the SWM and the PSSD, the PSSD represents a reliable, sensitive, and easy method for assessing sensation of the oral cavity. Furthermore, PSSD testing is not affected by saliva or movement. © 2004 Wiley Periodicals, Inc. Head Neck 26: 884–889,2004

📜 SIMILAR VOLUMES

Scapula osteocutaneous free flap reconst

Scapula osteocutaneous free flap reconstruction of the head and neck: Impact of flap choice on surgical and medical complications

✍ Russell B. Smith; Douglas K. Henstrom; Lucy H. Karnell; Kristi C. Chang; David P 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 110 KB 👁 1 views

## Abstract ## Background. The scapula osteocutaneous free flap is frequently used to reconstruct complex head and neck defects given its tissue versatility. Because of minimal atherosclerotic changes in its vascular pedicle, this flap also may be used as a second choice when other osseous flaps a

Reliability of the superficial venous dr

Reliability of the superficial venous drainage of the radial forearm free flaps in oral and maxillofacial reconstruction

✍ Yuan Liu; Xiaozhong Jiang; Jiantao Huang; Yang Wu; Guodong Wang; Lei Jiang; Wai 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 170 KB

## Abstract The aim of this article is to compare the superficial venous drainage system versus dual venous drainage system of radial forearm free flaps (RFFF) and its impact on flap survival. A total of 136 consecutive patients undergoing RFFF reconstruction for oral and maxillofacial surgical def

Reconstruction of bilateral osteoradione

Reconstruction of bilateral osteoradionecrosis of the mandible using a single fibular free flap

✍ Adam S. Jacobson; Daniel Buchbinder; Mark L. Urken 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 140 KB 👁 1 views

Free gastro-omental flap reconstruction

Free gastro-omental flap reconstruction of the complex, irradiated pharyngeal wound

✍ Grant W. Carlson; Vinod H. Thourani; Mark A. Codner; William J. Grist 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 209 KB 👁 1 views

Background. Reconstruction of the complex pharyngeal wound after radiotherapy presents a surgical challenge. Methods. Evaluation of the gastro-omental flap in the reconstruction of the pharynx and overlying soft tissue after local flap failure. Results. A 70-year-old patient underwent a total lary

Free flap reconstruction of osteoradione

Free flap reconstruction of osteoradionecrosis of the mandible: A 10-year review and defect classification

✍ Donald P. Baumann; Peirong Yu; Matthew M. Hanasono; Roman J. Skoracki 📂 Article 📅 2010 🏛 John Wiley and Sons 🌐 English ⚖ 381 KB 👁 1 views

## Abstract ## Background The purpose of this study was to evaluate outcomes of free flap reconstruction for advanced osteoradionecrosis (ORN) defects and develop an algorithm to guide surgical planning. ## Methods All cases involving free flap reconstruction for ORN of the mandible between 1998

Reconstruction of the subglottic larynx

Reconstruction of the subglottic larynx with a myoperiosteal flap: Clinical and experimental study

✍ Friedman, Michael ;Grybauskas, Vytenis ;Toriumi, Dean M. ;Kaplan, Allen ;Seiden, 📂 Article 📅 2006 🏛 Wiley (John Wiley & Sons) ⚖ 850 KB

The literature describes numerous techniques for reconstruction of the subglottic larynx. The use of rigid bone grafts or flaps has been associated with problems because the rigid bone cannot conform to the defect and form an airtight seal. We have performed subglottic reconstruction using the stern