Schultes G, Kärcher H, Gaggl A
Department of Oral and Maxillofacial Surgery, University Hospital Graz, Austria.
J Reconstr Microsurg. 1998 Nov;14(8):541-3. doi: 10.1055/s-2008-1040772.
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.
报告了一例使用带感觉的背阔肌肌皮瓣修复口腔缺损的病例。制备背阔肌自体转移皮支，并在受区与感觉神经进行后续吻合，经过短期康复后，转移组织获得了浅感觉和深感觉。术后早在4个月时，皮瓣就能引出疼痛和压力感觉。术后6个月发现有锐钝辨别觉和振动觉。术后9个月能引出温度辨别觉。
