A chimaeric-pattern flap design for implantable Doppler surrogate monitoring: a novel placement technique.
Identifieur interne : 002E35 ( Main/Curation ); précédent : 002E34; suivant : 002E36A chimaeric-pattern flap design for implantable Doppler surrogate monitoring: a novel placement technique.
Auteurs : Jeong Tae Kim [Corée du Sud] ; Samuel Y M. Ho [Singapour] ; Youn Hwan Kim [Corée du Sud]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Blessures de la main (), Carcinome épidermoïde (), Débit sanguin régional, Effet Doppler, Humains, Implantation de prothèse (), Lambeaux tissulaires libres (), Monitorage physiologique (instrumentation), Mâle, Prothèses et implants, Soins postopératoires, Sujet âgé, Tumeurs de l'amygdale (), Tumeurs des sinus maxillaires ().
- MESH :
- Adulte d'âge moyen, Blessures de la main, Carcinome épidermoïde, Débit sanguin régional, Effet Doppler, Humains, Implantation de prothèse, Lambeaux tissulaires libres, Monitorage physiologique, Mâle, Prothèses et implants, Soins postopératoires, Sujet âgé, Tumeurs de l'amygdale, Tumeurs des sinus maxillaires.
English descriptors
- KwdEn :
- Aged, Carcinoma, Squamous Cell (surgery), Doppler Effect, Free Tissue Flaps (blood supply), Hand Injuries (surgery), Humans, Male, Maxillary Sinus Neoplasms (surgery), Middle Aged, Monitoring, Physiologic (instrumentation), Postoperative Care, Prostheses and Implants, Prosthesis Implantation (methods), Regional Blood Flow, Tonsillar Neoplasms (surgery).
- MESH :
- blood supply : Free Tissue Flaps.
- instrumentation : Monitoring, Physiologic.
- methods : Prosthesis Implantation.
- surgery : Carcinoma, Squamous Cell, Hand Injuries, Maxillary Sinus Neoplasms, Tonsillar Neoplasms.
- Aged, Doppler Effect, Humans, Male, Middle Aged, Postoperative Care, Prostheses and Implants, Regional Blood Flow.
Abstract
Postoperative flap monitoring is a vital aspect of free tissue transfer in order to detect early vascular compromise and to enable early flap salvage. The implantable Doppler monitoring system is one of many monitoring devices used to ensure accuracy and reduce unnecessary flap explorations. However, there are a number of concerns with its use, namely tension on the anastomosis, possible vessel constriction and false-negative detection. This study aimed to alleviate these concerns, by introducing a new method of placing the implantable Doppler probe on the adjacent vessel limb of a chimaeric flap. This is illustrated by a case series of chimaeric free tissue flaps that allow this surrogate placement of the Doppler probe.
DOI: 10.1016/j.bjps.2013.10.045
PubMed: 24365566
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pubmed:24365566Le document en format XML
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<term>Free Tissue Flaps (blood supply)</term>
<term>Hand Injuries (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Maxillary Sinus Neoplasms (surgery)</term>
<term>Middle Aged</term>
<term>Monitoring, Physiologic (instrumentation)</term>
<term>Postoperative Care</term>
<term>Prostheses and Implants</term>
<term>Prosthesis Implantation (methods)</term>
<term>Regional Blood Flow</term>
<term>Tonsillar Neoplasms (surgery)</term>
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<term>Blessures de la main ()</term>
<term>Carcinome épidermoïde ()</term>
<term>Débit sanguin régional</term>
<term>Effet Doppler</term>
<term>Humains</term>
<term>Implantation de prothèse ()</term>
<term>Lambeaux tissulaires libres ()</term>
<term>Monitorage physiologique (instrumentation)</term>
<term>Mâle</term>
<term>Prothèses et implants</term>
<term>Soins postopératoires</term>
<term>Sujet âgé</term>
<term>Tumeurs de l'amygdale ()</term>
<term>Tumeurs des sinus maxillaires ()</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Free Tissue Flaps</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Prosthesis Implantation</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term>
<term>Hand Injuries</term>
<term>Maxillary Sinus Neoplasms</term>
<term>Tonsillar Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Doppler Effect</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Care</term>
<term>Prostheses and Implants</term>
<term>Regional Blood Flow</term>
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<term>Blessures de la main</term>
<term>Carcinome épidermoïde</term>
<term>Débit sanguin régional</term>
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<term>Implantation de prothèse</term>
<term>Lambeaux tissulaires libres</term>
<term>Monitorage physiologique</term>
<term>Mâle</term>
<term>Prothèses et implants</term>
<term>Soins postopératoires</term>
<term>Sujet âgé</term>
<term>Tumeurs de l'amygdale</term>
<term>Tumeurs des sinus maxillaires</term>
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<front><div type="abstract" xml:lang="en">Postoperative flap monitoring is a vital aspect of free tissue transfer in order to detect early vascular compromise and to enable early flap salvage. The implantable Doppler monitoring system is one of many monitoring devices used to ensure accuracy and reduce unnecessary flap explorations. However, there are a number of concerns with its use, namely tension on the anastomosis, possible vessel constriction and false-negative detection. This study aimed to alleviate these concerns, by introducing a new method of placing the implantable Doppler probe on the adjacent vessel limb of a chimaeric flap. This is illustrated by a case series of chimaeric free tissue flaps that allow this surrogate placement of the Doppler probe.</div>
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