A New Flap Design for Monitoring the Circulation of a Buried Free Radial Forearm Flap in Pharyngoesophageal Reconstruction
| Autor: | Oğuz Basut, Selçuk Akin |
|---|---|
| Přispěvatelé: | Uludağ Üniversitesi/Tıp Fakültesi/Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı., Akın, Sibel, Basut, Oğuz İbrahim |
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms Monitor flap Free flap Surgical Flaps Esophagus Forearm Reconstructive surgical procedures medicine.artery Humans Medicine Pharyngoesophageal reconstruction Radial artery Free Tissue Graft Breast Reconstruction Flaps (Control Surfaces) Radial forearm flap integumentary system medicine.diagnostic_test business.industry Pharyngeal Neoplasms Small island Middle Aged Plastic Surgery Procedures Capillary refill eye diseases Surgery body regions Plastic surgery medicine.anatomical_structure Epidermoid carcinoma Regional Blood Flow Esophagoplasty Pharynx business |
| Zdroj: | Journal of Reconstructive Microsurgery. 18:591-594 |
| ISSN: | 1098-8947 0743-684X |
| DOI: | 10.1055/s-2002-35097 |
| Popis: | The viability of a free radial forearm flap which is used in pharyngoesophageal reconstruction is difficult to monitor because it is hidden by skin. As the most reliable method for monitoring, exteriorization of a small island flap has been reported. The authors used a skin paddle which is placed ulnar to the radial forearm reconstruction flap at the ulnar side of the distal part of the forearm as a monitor flap in one patient. Flap viability was assessed by observing tissue color, turgor, capillary refill, and bleeding of the monitor flap. This monitor flap is easy to elevate. The perfusion of the flap is good because it has a wide pedicle. It permits a long vascular pedicle for the radial forearm reconstruction flap and does not reduce available forearm skin for pharyngoesophageal reconstruction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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