ORAL SENSATION AND FUNCTION: A COMPARISON OF PATIENTS WITH INNERVATED RADIAL FOREARM FREE FLAP RECONSTRUCTION TO HEALTHY MATCHED CONTROLS
ORAL SENSATION AND FUNCTION: A COMPARISON OF PATIENTS WITH INNERVATED RADIAL FOREARM FREE FLAP RECONSTRUCTION TO HEALTHY MATCHED CONTROLS
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DOI：
10.1002/hed.21155
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发表时间：
2010-01-01
影响因子：
2.9
通讯作者：
Rieger, Jana M.
中科院分区：
文献类型：
--
作者：
Loewen, Irene J.;Boliek, Carol A.;Rieger, Jana M.
背景有限的证据表明，使用神经支配的前臂桡侧游离皮瓣（RFFF）重建半舌切除缺损。本研究报告了神经支配的RFFF重建前三分之二舌的患者的感觉，咀嚼和语音结果。感觉。对8例患者和年龄、性别匹配的对照组进行咀嚼功能和语言清晰度的评估。感觉完整的舌组织重建后的半舌没有不同的控制。虽然患者再造舌恢复了一些感觉能力，但患者组和对照组之间存在差异。然而，整个口腔的感觉导致了与对照组相似的感觉能力。虽然患者表现出足够的咀嚼和语言能力，但患者和对照组之间存在差异。虽然在用神经支配的RFFF进行舌重建的患者中保留了一些感觉能力，但在某些患者中可能会影响功能结果，例如咀嚼能力和语言清晰度。(C)2009 Wiley Periodicals，Inc.头颈部32：8595，2010年
Background. Limited evidence exists for the use of innervated radial forearm free flap (RFFF) reconstruction of hemiglossectomy defects. This study reports on sensation, mastication, and speech outcomes for patients with innervated RFFF reconstruction of the anterior two-thirds of the tongue.Methods. Sensation. mastication, and speech intelligibility were assessed in 8 patients and age- and sex-matched controls.Results. Sensation of intact tongue tissue after reconstruction of the hemitongue did not differ from controls. Although some sensory ability was restored to patients' reconstructed tongue, differences existed between the patient group and controls. However, whole mouth sensations resulted in similar sensory ability as controls. Whereas patients demonstrated adequate masticatory and speech ability, differences existed between patients and controls.Conclusion. Although some sensory ability is preserved in patients who have had tongue reconstruction with an innervated RFFF, functional outcomes such as masticatory ability and speech intelligibility may be affected in some patients. (C) 2009 Wiley Periodicals, Inc. Head Neck 32: 8595, 2010