Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result?
OBJECTIVE: This study compares innervated and denervated flaps for the lower lip reconstruction in terms of oral sphincter function and sensation. STUDY DESIGN AND SETTING: A prospective trial. METHODS: This study was carried out on 31 patients with lower lip carcinoma. They were divided in 2 groups...
Published in: | Otolaryngology–Head and Neck Surgery |
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Language: | English |
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Online Access: | http://dx.doi.org/10.1016/j.otohns.2005.12.010 http://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2005.12.010 http://journals.sagepub.com/doi/full-xml/10.1016/j.otohns.2005.12.010 |
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crsagepubl:10.1016/j.otohns.2005.12.010 2023-05-15T16:01:59+02:00 Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? Civelek, Birol Celebioglu, Selim Unlu, Ece Civelek, Senol Inal, Ibrahim Velidedeoglu, Hifzi V. 2006 http://dx.doi.org/10.1016/j.otohns.2005.12.010 http://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2005.12.010 http://journals.sagepub.com/doi/full-xml/10.1016/j.otohns.2005.12.010 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Otolaryngology–Head and Neck Surgery volume 134, issue 4, page 613-617 ISSN 0194-5998 1097-6817 Otorhinolaryngology Surgery journal-article 2006 crsagepubl https://doi.org/10.1016/j.otohns.2005.12.010 2022-04-14T04:45:52Z OBJECTIVE: This study compares innervated and denervated flaps for the lower lip reconstruction in terms of oral sphincter function and sensation. STUDY DESIGN AND SETTING: A prospective trial. METHODS: This study was carried out on 31 patients with lower lip carcinoma. They were divided in 2 groups: 18 patients with denervated local flaps and 13 patients with innervated flaps. During the follow-up period, all patients were evaluated by electromyography tests and an assessment of the sensation on the lower lip and sphincter function was undertaken by clinical parameters. RESULTS: Compound muscle action potential (CMAP) was obtained in all patients. The amplitudes of CMAP were below normal and the values for distal motor latency (DML) were slightly longer than normal values. Interference patterns were observed on whistling in all cases. There were no differences in terms of sphincteric function in each group. CONCLUSIONS: The denervated random local flaps used for the lower lip reconstruction have no functional inferiority when compared to the innervated-pedicled local flaps. SIGNIFICANCE: This study demonstrates that denervated flaps can be employed for a functional lip reconstruction. EBM rating: B-2b Article in Journal/Newspaper DML SAGE Publications (via Crossref) Otolaryngology–Head and Neck Surgery 134 4 613 617 |
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SAGE Publications (via Crossref) |
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English |
topic |
Otorhinolaryngology Surgery |
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Otorhinolaryngology Surgery Civelek, Birol Celebioglu, Selim Unlu, Ece Civelek, Senol Inal, Ibrahim Velidedeoglu, Hifzi V. Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? |
topic_facet |
Otorhinolaryngology Surgery |
description |
OBJECTIVE: This study compares innervated and denervated flaps for the lower lip reconstruction in terms of oral sphincter function and sensation. STUDY DESIGN AND SETTING: A prospective trial. METHODS: This study was carried out on 31 patients with lower lip carcinoma. They were divided in 2 groups: 18 patients with denervated local flaps and 13 patients with innervated flaps. During the follow-up period, all patients were evaluated by electromyography tests and an assessment of the sensation on the lower lip and sphincter function was undertaken by clinical parameters. RESULTS: Compound muscle action potential (CMAP) was obtained in all patients. The amplitudes of CMAP were below normal and the values for distal motor latency (DML) were slightly longer than normal values. Interference patterns were observed on whistling in all cases. There were no differences in terms of sphincteric function in each group. CONCLUSIONS: The denervated random local flaps used for the lower lip reconstruction have no functional inferiority when compared to the innervated-pedicled local flaps. SIGNIFICANCE: This study demonstrates that denervated flaps can be employed for a functional lip reconstruction. EBM rating: B-2b |
format |
Article in Journal/Newspaper |
author |
Civelek, Birol Celebioglu, Selim Unlu, Ece Civelek, Senol Inal, Ibrahim Velidedeoglu, Hifzi V. |
author_facet |
Civelek, Birol Celebioglu, Selim Unlu, Ece Civelek, Senol Inal, Ibrahim Velidedeoglu, Hifzi V. |
author_sort |
Civelek, Birol |
title |
Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? |
title_short |
Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? |
title_full |
Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? |
title_fullStr |
Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? |
title_full_unstemmed |
Denervated or Innervated Flaps for the Lower Lip Reconstruction? Are They Really Different to Get a Good Result? |
title_sort |
denervated or innervated flaps for the lower lip reconstruction? are they really different to get a good result? |
publisher |
SAGE Publications |
publishDate |
2006 |
url |
http://dx.doi.org/10.1016/j.otohns.2005.12.010 http://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2005.12.010 http://journals.sagepub.com/doi/full-xml/10.1016/j.otohns.2005.12.010 |
genre |
DML |
genre_facet |
DML |
op_source |
Otolaryngology–Head and Neck Surgery volume 134, issue 4, page 613-617 ISSN 0194-5998 1097-6817 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1016/j.otohns.2005.12.010 |
container_title |
Otolaryngology–Head and Neck Surgery |
container_volume |
134 |
container_issue |
4 |
container_start_page |
613 |
op_container_end_page |
617 |
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1766397639327219712 |