The whole-mount distribution pattern of femoral cutaneous nerve and its significance in sensory reconstruction

doi:10.13418/j.issn.1001-165x.2020.05.009

Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (5) : 540-544. DOI: 10.13418/j.issn.1001-165x.2020.05.009

WANG Qing¹, ZHU De-yi¹, LI Xiao-peng¹, YANG Sheng-bo²

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Abstract

Objective　To reveal the whole-mount distribution pattern of the cutaneous nerve of the thigh by the modified Sihler's staining method, so as to provide morphological basis for the sensory reconstruction of flap transplantation.　Methods　Twelve Chinese adult cadavers and 12 children cadavers were fixed with formalin. The skin of the thigh closed to the muscle surface with subcutaneous fat was removed. The modified Sihler's staining method was used to show the distribution pattern of cutaneous nerve in the thigh.　Results　The specimens were light purple after Sihler's staining, and the cutaneous nerves and their branches were black. We could see macroscopically the arborized branches and distribution patterns of the lateral femoral cutaneous nerve, the anterior cutaneous branch of the femoral nerve, the femoral branch of the genitofemoral nerve, the medial cutaneous branch of the femoral nerve, the cutaneous branch of the obturator nerve and the posterior femoral cutaneous nerve. There were obvious connection among the lateral femoral cutaneous nerve, the anterior cutaneous branch of the femoral nerve and the posterior femoral cutaneous nerve. The nerve branches at all levels were densely distributed in the middle part of anteromedial femoral region and the middle band of posterior femoral region, and there was connection between these branches.　Conclusions　The middle part of anteromedial femoral region and the middle band of posterior femoral region should be recommended as the preferred donor regions for sensory reconstruction in flat transplantation.

Key words

Thigh / 　Cutaneous nerve / 　Distribution pattern / 　Sihler's staining / 　Sensory reconstruction

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WANG Qing, ZHU De-yi, LI Xiao-peng, YANG Sheng-bo. The whole-mount distribution pattern of femoral cutaneous nerve and its significance in sensory reconstruction[J]. Chinese Journal of Clinical Anatomy. 2020, 38(5): 540-544 https://doi.org/10.13418/j.issn.1001-165x.2020.05.009

References

[1] 丁文龙, 刘学政. 系统解剖学[M]. 北京: 人民卫生出版社, 2018: 287-289.
[2] 唐举玉, 李康华, 任家伍, 等. 股外侧皮神经的形态特点与临床意义[J]. 中南大学学报(医学版), 2012, 37(12): 1255-1259.
[3] 杨学斌, 陈德松. 股外侧皮神经的临床解剖[J]. 中国临床解剖学杂志, 1993, 11(2): 106-109.
[4] 邓永高, 陈伟明, 邹仲兵, 等. 股前皮神经营养血管蒂岛状皮瓣的临床应用[J]. 中华整形外科杂志, 2001, 17(2): 7-9.
[5] 徐国成, 韩秋生, 霍琨. 人体解剖学彩色图谱[M]. 沈阳: 辽宁科学技术出版社, 2010: 203.
[6] 凌丽. 正常人皮肤神经纤维定量和形态学标准化研究[D]. 吉林: 吉林大学, 2009.
[7] 侯春林, 顾玉东. 皮瓣外科学[M]. 上海: 上海科学技术出版社, 2006: 12.
[8] 施权, 魏在荣, 杨胜波, 等. 进一步改良Sihler’s肌肉神经染色法显示SD大鼠皮肤神经[J]. 中国临床解剖学杂志, 2018, 36(4): 461-464.
[9] Li H, Zhu W, Wu S, et al. Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinicalimplications for sensory reconstruction[J]. PLoS One, 2019, 14(9): e0222335.
[10] 崔慧先, 李瑞锡. 局部解剖学[M]. 北京: 人民卫生出版社, 2018: 253-259.
[11] 吕端远, 谢华, 黄群武, 等. 股后皮神经营养血管筋膜皮瓣的应用解剖[J]. 广东医学院学报, 2000, 18(4): 335-336.
[12] De Virgilio A, Iocca O, Di Maio P, et al. Head and neck soft tissue reconstruction with anterolateral thigh flaps with various components: development of an algorithm for flap selection in different clinical scenarios[J]. Microsurgery, 2019, 39(7): 590-597.
[13] Wang HT, Erdmann D, Fletcher JW, et al. Anterolateral thigh flap technique in hand and upper extremity reconstruction[J]. Tech Hand Up Extrem Surg, 2004, 8(4): 257-261.
[14]Lin XA, Shi YY, Liu C. The anterolateral thigh flap for Reconstruction of the defect after maxillectomy[J]. J Craniofac Surg, 2020, 31(1): e89-e92.
[15]Zhang GL, Su H, Ju JH, et al. Reconstruction of dorsal and palmar defects of hand with anterolateral thigh flaps from one donor site[J]. J Plast Reconstr Aesthet Surg, 2019, 72(12): 1917-1922.
[16]Wen G, Chai YM, Zeng BF, et al. Clinical application of the reverse neurocutaneous flap with anterior cutaneous branch of the femoral nerve supplied by the perforator of saphenous artery[J]. Zhonghua Zheng Xing Wai Ke Za Zhi, 2009, 25(6): 430-432.
[17]王九松, 刘鸣江. 股后皮神经营养血管皮瓣修复腘窝创面临床分析[J]. 现代医药卫生, 2016, 32(13): 2115-2116.
[18]吕小星, 李学拥, 李跃军, 等. 股后皮神经营养血管皮瓣逆行转移修复腘窝软组织缺损[J]. 第四军医大学学报, 2009, 30(21): 2429-2430.
[19]马镇疆, 刘俊生, 董付方. 以股后皮神经及其营养血管为蒂的皮瓣修复膝关节前上、前外侧皮肤缺损[J]. 河南诊断与治疗杂志, 2000, 14(4): 244-245.
[20]戚剑, 劳镇国, 朱庆棠, 等. 股后皮神经营养血管皮瓣修复臀骶部大面积软组织缺损[J]. 中国修复重建外科杂志, 2006, 20(12): 1205-1207.
[21]Staples B, Ennedy E, Kim T, et al. Cutaneous branch of the obturator nerve extending to the medial ankle and foot: a report of two cadaveric cases[J]. J Foot Ankle Surg, 2019 58(6): 1267-1272.
[22]Ide C, Tohyama K, Yokota R, et al. Schwann cell basal lamina and nerve regeneration[J]. Brain Res, 1983, 288(1-2): 61-75.
[23]Feng SM, Wang AG, Zhang ZY, et al. Repair and sensory reconstruction of the children's finger pulp defects with perforator pedicled propeller flap in proper digital artery[J]. Eur Rev Med Pharmacol Sci, 2017, 21(16): 3533-3537.
[24] Zhu L, Zhang J, Song X, et al. Sensory recovery of non-innervated free flaps and nasolabial island flaps used for tongue reconstruction of oncological defects[J]. J Oral Rehabil, 2017, 44(10): 736-748.