Histopathologic findings in a human arterial anastomosis after free flap transfer
Identifieur interne : 000B89 ( Istex/Checkpoint ); précédent : 000B88; suivant : 000B90Histopathologic findings in a human arterial anastomosis after free flap transfer
Auteurs : M. E. Karl [Allemagne] ; Anneliese Tilgner [Allemagne] ; Harry Heiner [Allemagne]Source :
- Microsurgery [ 0738-1085 ] ; 1980-03.
Abstract
During the removal of subcutaneous fat 4 months after free groin flap transfer in a 25‐yearold male, the anastomosed artery was also removed for histologic examination. The removal of the artery did not impair flap viability. The considerable narrowing of the arterial lumen caused by extensive hyperplasia of the intima suggested a restriction of arterial function. In addition, the internal elastic membrane had disappeared or was partially intact, doubled, and fragmented. Where sutures were tight, necrosis of the media was found, with heavy scar formation. If the sutures were loose, the media remained intact. The tissue of the flap artery was more heavily altered than the tissue of the recipient artery. This was evidently the result of trauma incurred during preparation of the flap vessels. Functional restriction of the anastomosed artery and secondary flap revascularization apparently occurred in a temporally favorable relationship in this case.
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DOI: 10.1002/micr.1920010511
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Karl</name></author><author><name sortKey="Tilgner, Anneliese" sort="Tilgner, Anneliese" uniqKey="Tilgner A" first="Anneliese" last="Tilgner">Anneliese Tilgner</name></author><author><name sortKey="Heiner, Harry" sort="Heiner, Harry" uniqKey="Heiner H" first="Harry" last="Heiner">Harry Heiner</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:52CD3837D36E2CBC72F117C0FF76A8BE5B81FEF6</idno><date when="1980" year="1980">1980</date><idno type="doi">10.1002/micr.1920010511</idno><idno type="url">https://api.istex.fr/document/52CD3837D36E2CBC72F117C0FF76A8BE5B81FEF6/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000577</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000577</idno><idno type="wicri:Area/Istex/Curation">000548</idno><idno type="wicri:Area/Istex/Checkpoint">000B89</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000B89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Histopathologic findings in a human arterial anastomosis after free flap transfer</title><author><name sortKey="Karl, M E" sort="Karl, M E" uniqKey="Karl M" first="M. E." last="Karl">M. E. Karl</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Maxillofacial and Plastic Surgery, Friedrich Schiller University, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Tilgner, Anneliese" sort="Tilgner, Anneliese" uniqKey="Tilgner A" first="Anneliese" last="Tilgner">Anneliese Tilgner</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Maxillofacial and Plastic Surgery, Friedrich Schiller University, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Heiner, Harry" sort="Heiner, Harry" uniqKey="Heiner H" first="Harry" last="Heiner">Harry Heiner</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Maxillofacial and Plastic Surgery, Friedrich Schiller University, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Microsurgery</title><title level="j" type="abbrev">Microsurgery</title><idno type="ISSN">0738-1085</idno><idno type="eISSN">1098-2752</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="1980-03">1980-03</date><biblScope unit="volume">1</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="394">394</biblScope><biblScope unit="page" to="398">398</biblScope></imprint><idno type="ISSN">0738-1085</idno></series><idno type="istex">52CD3837D36E2CBC72F117C0FF76A8BE5B81FEF6</idno><idno type="DOI">10.1002/micr.1920010511</idno><idno type="ArticleID">MICR1920010511</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0738-1085</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During the removal of subcutaneous fat 4 months after free groin flap transfer in a 25‐yearold male, the anastomosed artery was also removed for histologic examination. The removal of the artery did not impair flap viability. The considerable narrowing of the arterial lumen caused by extensive hyperplasia of the intima suggested a restriction of arterial function. In addition, the internal elastic membrane had disappeared or was partially intact, doubled, and fragmented. Where sutures were tight, necrosis of the media was found, with heavy scar formation. If the sutures were loose, the media remained intact. The tissue of the flap artery was more heavily altered than the tissue of the recipient artery. This was evidently the result of trauma incurred during preparation of the flap vessels. Functional restriction of the anastomosed artery and secondary flap revascularization apparently occurred in a temporally favorable relationship in this case.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Karl, M E" sort="Karl, M E" uniqKey="Karl M" first="M. E." last="Karl">M. E. Karl</name></noRegion><name sortKey="Heiner, Harry" sort="Heiner, Harry" uniqKey="Heiner H" first="Harry" last="Heiner">Harry Heiner</name><name sortKey="Tilgner, Anneliese" sort="Tilgner, Anneliese" uniqKey="Tilgner A" first="Anneliese" last="Tilgner">Anneliese Tilgner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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