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: 1...
Published in: | Otolaryngology–Head and Neck Surgery |
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Online Access: | http://dx.doi.org/10.1016/j.otohns.2005.12.010 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2005.12.010 https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.otohns.2005.12.010 |
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crwiley:10.1016/j.otohns.2005.12.010 2024-06-02T08:05:49+00:00 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 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2005.12.010 https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.otohns.2005.12.010 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Otolaryngology–Head and Neck Surgery volume 134, issue 4, page 613-617 ISSN 0194-5998 1097-6817 journal-article 2006 crwiley https://doi.org/10.1016/j.otohns.2005.12.010 2024-05-03T11:24:45Z 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 Wiley Online Library Otolaryngology–Head and Neck Surgery 134 4 613 617 |
institution |
Open Polar |
collection |
Wiley Online Library |
op_collection_id |
crwiley |
language |
English |
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. |
spellingShingle |
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? |
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 |
Wiley |
publishDate |
2006 |
url |
http://dx.doi.org/10.1016/j.otohns.2005.12.010 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2005.12.010 https://onlinelibrary.wiley.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://onlinelibrary.wiley.com/termsAndConditions#vor |
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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1800750694145196032 |