中国神经再生研究（英文版）2012，Vol.7Issue(29)：2279-2285,7.DOI:10.3969/j.issn.1673-5374.2012.29.006
Sensory reinnervation of free flaps in reconstruction of the breast and the upper and lower extremities
Sensory reinnervation of free flaps in reconstruction of the breast and the upper and lower extremities
Nektarios Sinis 1Androniki Lamia 1Helml Gudrun 2Thomas Schoeller 2Frank Werdin2
作者信息
- 1. Department of Plastic-, Hand-and Reconstructive Microsurgery, St.Marien Krankenhaus Berlin, Berlin 12249, Germany
- 2. Department of Handsurgery, Microsurgery and Reconstructive Surgery of the Breast, Marienhospital Stuttgart, Stuttgart 70199,Baden-Württemberg, Germany
- 折叠
摘要
Abstract
There is long-standing debate about sensate versus non-sensate free microvascular flaps among microsurgeons.The principle of connecting not only the vascular supply,but also sensitive nerves,in free tissue transfer is attractive.However,increased operating time and partial spontaneous innervation led to the common decision to restrict microsurgical tissue transfer to the vascular anastomosis and to leave the nerves "untreated".Nevertheless,in special cases such as breast reconstruction or extremity reconstruction,the question about sensory nerve coaptation of the flaps remains open.We present our experience with free microvascular tissue transfer for breast and extremity reconstruction and compare the data with previous literature and conclude that most free flap surgeries do not benefit from nerve coaptation.关键词
free tissue flap/mammaplasty/dermatoplasty/free tissue transfer flap/free microvascular tissue transfer/breast reconstruction/extremity reconstruction/sensate flap/non-sensate flapKey words
free tissue flap/mammaplasty/dermatoplasty/free tissue transfer flap/free microvascular tissue transfer/breast reconstruction/extremity reconstruction/sensate flap/non-sensate flap引用本文复制引用
Nektarios Sinis,Androniki Lamia,Helml Gudrun,Thomas Schoeller,Frank Werdin..Sensory reinnervation of free flaps in reconstruction of the breast and the upper and lower extremities[J].中国神经再生研究（英文版）,2012,7(29):2279-2285,7.
