Sensory reinnervation of free flaps in reconstruction of the breast and the upper and lower extremities  

作　　者：Nektarios Sinis Androniki Lamia Helml Gudrun Thomas Schoeller Frank Werdin 

机构地区：[1]Department of Plastic,Hand-and Reconstructive Microsurgery,St.Marien Krankenhaus Berlin,Berlin 12249, Germany [2]Department of Handsurgery,Microsurgery and Reconstructive Surgery of the Breast, Marienhospital Stuttgart,Stuttgart 70199,Baden-Württemberg, Germany [3]Department of Handsurgery, Microsurgery and Reconstructive Surgery of the Breast, Marienhospital Stuttgart,Stuttgart 70199,Baden-Württemberg, Germany

出　　处：《Neural Regeneration Research》2012年第29期2279-2285,共7页中国神经再生研究（英文版）

摘　　要：There is long-standing debate about sensate versus non-sensate free microvascular flaps among microsurgeons. The principle of connecting not only the vascular supply, but also sensitive nerves, in free tissue transfer is attractive. However, increased operating time and partial spontaneous innervation led to the common decision to restrict microsurgical tissue transfer to the vascular anastomosis and to leave the nerves ＂untreated＂. Nevertheless, in special cases such as breast reconstruction or extremity reconstruction, the question about sensory nerve coaptation of the flaps remains open. We present our experience with free microvascular tissue transfer for breast and extremity reconstruction and compare the data with previous literature and conclude that most free flap surgeries do not benefit from nerve coaptation.There is long-standing debate about sensate versus non-sensate free microvascular flaps among microsurgeons. The principle of connecting not only the vascular supply, but also sensitive nerves, in free tissue transfer is attractive. However, increased operating time and partial spontaneous innervation led to the common decision to restrict microsurgical tissue transfer to the vascular anastomosis and to leave the nerves ＂untreated＂. Nevertheless, in special cases such as breast reconstruction or extremity reconstruction, the question about sensory nerve coaptation of the flaps remains open. We present our experience with free microvascular tissue transfer for breast and extremity reconstruction and compare the data with previous literature and conclude that most free flap surgeries do not benefit from nerve coaptation.

关 键 词：free tissue flap MAMMAPLASTY dermatoplasty free tissue transfer flap free microvascular tissuetransfer breast reconstruction extremity reconstruction sensate flap non-sensate flap 

分 类 号：R622.3[医药卫生—整形外科]