Sensate myocutaneous latissimus dorsi flap.
A case using a sensate myocutaneous latissimus dorsi flap for oral defect reconstruction is reported. Preparation of the cutaneous branches of a latissimus dorsi autologous transfer and their subsequent anastomoses with sensitive nerves at the recipient site resulted in superficial and deep sensibility of the transfer, following a short rehabilitation period. As early as 4 months postoperatively, pain and pressure sensations could be evoked in the flap. Sharp and blunt discrimination and sense of vibration were found 6 months postoperatively. Nine months postoperatively, caloric differentiation could be elicited.
Schultes
G
G
Department of Oral and Maxillofacial Surgery, University Hospital Graz, Austria.
Kärcher
H
H
Gaggl
A
A
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006801:Humans; D008866:Microsurgery / Q000379:methods; D009055:Mouth / Q000601:surgery*; D010525:Peripheral Nerves / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012677:Sensation; D013524:Surgical Flaps / Q000294:innervation*; D014059:Tongue / Q000601:surgery*; D014062:Tongue Neoplasms / Q000601:surgery