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J Craniomaxillofac Surg. 2006 Sep;34(6):332-9. Epub 2006 Jul 21.

Function of the sensate free forearm flap after partial glossectomy.

Author information

1
Department of Maxillo-Facial Surgery , San Paolo University Hospital, Milan, Italy. federico.biglioli@unimi.it

Abstract

AIMS:

To compare functional recovery of sensitive free forearm flaps with non-sensitive free forearm flaps, following reconstruction for partial glossectomy.

MATERIAL:

Sixteen patients underwent partial glossectomy for oncological reasons, of whom: nine patients underwent repair with non-sensitive free forearm flaps (group A) and seven with sensitive free flaps (group B).

METHODS:

All patients underwent the following tests: (1) tactile sensitivity evaluation, localization of stimulus, sharp/blunt definition, discrimination between two points (static and dynamic), thermal sensitivity to heat/cold; (2) speech evaluation by means of the modified Fanzago test; (3) subjective evaluation concerning the degree of satisfaction of the following functions: swallowing, feeding and talking.

RESULTS:

The sensitivity and logopaedic evaluation tests and the subjective evaluation charts highlight an overall better functional recovery of the sensitive repair than the non-sensitive ones.

CONCLUSION:

In patients who have undergone partial glossectomy repair with free forearm neurofasciocutaneous flaps allow good recovery of oral functions and, therefore, a good quality of life.

PMID:
16859912
DOI:
10.1016/j.jcms.2006.04.005
[Indexed for MEDLINE]

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