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| Evaluate of Sensation Restoration of Neurorrhaphy of Anterolateral Femoral Perforated Skin Flap in Repairing the Defect after Head and Neck Cancer Resection |
| Department of Oral and Maxillofacial Surgery, the Xiangtan City Central Hospital, Xiangtan,411100 China |
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Abstract 【Objective】 To evaluate the sensation restoration of neurorrhaphy of anterolateral femoral perforated skin flaps in repairing the defect after head and neck cancer resection.【Methods】 Thirtyfive patients underwent simultaneous sensation restoration of neurorrhaphy of anterolateral femoral perforated skin flap from May,2013 to May, 2015 were selected . Among which 27 cases were of endtoend neurorrhaphy and 8 cases of endtoside neurorrhaphy; 9 cases of epineurium neurorrhaphy, and the rest of 26 cases of epineurium neurorrhaphy plus nerve bundle neurorrhaphy. The effect on the restoration of sensation was reviewed at 4,8,16 and 24 weeks after operation respectively. 【Results】All of the 35 flaps survived. Satisfying morphology for the maxillofacial region and PhaseOne healing on the donor site were obtained. During the 1 to 6 months' followup, the sensation of pain, touch and twopoint discrimination of the flaps were restored somewhat 4 weeks after surgery. The sensory function of flaps had reached a level above S2, which acquired the protective sensation. The excellent and good rate of sensation restoration was 65.7%. The color, texture and elasticity of skin flaps were satisfied. 【Conclusion】The lateral femoral cutaneous nerve of the donor site is characterized with its regular formation which is superficial ,flexible for flap designing, easy and convenient for operation etc.; on the recipient site, there is plenty of sensory nerves in maxillofacial region, and it is of great value to reconstruct the defect after resection of tumor in this region with anterolateral femoral perforated skin flaps to restore the sensation function therewith.
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Received: 08 November 2015
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2016, Vol. 33 
