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Prefabricated Cervical Skin Flaps for Hemi-Facial Resurfacing: Elucidating the Natural History of Postoperative Edema Using Indocyanine Green.

Identifieur interne : 000387 ( PubMed/Corpus ); précédent : 000386; suivant : 000388

Prefabricated Cervical Skin Flaps for Hemi-Facial Resurfacing: Elucidating the Natural History of Postoperative Edema Using Indocyanine Green.

Auteurs : Ke Li ; Peiru Min ; Parviz Sadigh ; Luca Grassetti ; Davide Lazzeri ; Matteo Torresetti ; Riccardo Marsili ; Shaoqing Feng ; Ningfei Liu ; Yi Xin Zhang

Source :

RBID : pubmed:28135123

Abstract

The increases in capillary wall permeability and capillary hydrostatic pressure are considered to be the causes for the acute swelling seen in flaps; however, disruption of the circulating flap lymphatics could be another contributory factor. In this study we monitor the development of flap edema in a series of 18 prefabricated flaps and aim to delineate the natural history of this phenomenon by use of lymphography.

DOI: 10.1089/lrb.2015.0043
PubMed: 28135123

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pubmed:28135123

Le document en format XML

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<nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation>
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<name sortKey="Min, Peiru" sort="Min, Peiru" uniqKey="Min P" first="Peiru" last="Min">Peiru Min</name>
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<nlm:affiliation>2 The Royal London Hospital , Department of Plastic Reconstructive Surgery, London, United Kingdom .</nlm:affiliation>
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<name sortKey="Grassetti, Luca" sort="Grassetti, Luca" uniqKey="Grassetti L" first="Luca" last="Grassetti">Luca Grassetti</name>
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<name sortKey="Marsili, Riccardo" sort="Marsili, Riccardo" uniqKey="Marsili R" first="Riccardo" last="Marsili">Riccardo Marsili</name>
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<nlm:affiliation>5 Plastic and Reconstructive Surgery Unit, Hospital of Pisa , Pisa, Italy .</nlm:affiliation>
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<nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation>
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<name sortKey="Liu, Ningfei" sort="Liu, Ningfei" uniqKey="Liu N" first="Ningfei" last="Liu">Ningfei Liu</name>
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<nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation>
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<name sortKey="Zhang, Yi Xin" sort="Zhang, Yi Xin" uniqKey="Zhang Y" first="Yi Xin" last="Zhang">Yi Xin Zhang</name>
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<nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation>
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<div type="abstract" xml:lang="en">The increases in capillary wall permeability and capillary hydrostatic pressure are considered to be the causes for the acute swelling seen in flaps; however, disruption of the circulating flap lymphatics could be another contributory factor. In this study we monitor the development of flap edema in a series of 18 prefabricated flaps and aim to delineate the natural history of this phenomenon by use of lymphography.</div>
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<Month>04</Month>
<Day>24</Day>
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<Year>2017</Year>
<Month>Jan</Month>
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<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Prefabricated Cervical Skin Flaps for Hemi-Facial Resurfacing: Elucidating the Natural History of Postoperative Edema Using Indocyanine Green.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2015.0043</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The increases in capillary wall permeability and capillary hydrostatic pressure are considered to be the causes for the acute swelling seen in flaps; however, disruption of the circulating flap lymphatics could be another contributory factor. In this study we monitor the development of flap edema in a series of 18 prefabricated flaps and aim to delineate the natural history of this phenomenon by use of lymphography.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Postoperative swelling was monitored in a series of 18 pre-expanded prefabricated cervical skin flaps used for hemi-facial burns-scar resurfacing. Time to spontaneous resolution, presence or absence of venous congestion, and clinical outcome were recorded. In two cases, indocyanine-green (ICG) lymphography was used to monitor the dermal backflow pattern until swelling had completely resolved. Average moving velocity of ICG after injection as well as flap thickness was also recorded over the follow-up period.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The average moving velocity of ICG in the flap lymphatics improved from 0.48 cm/min to 1.5 cm/min in the first 12 days after flap transfer. The dermal backflow pattern was stardust in the first 12 days, indicating moderate lymphedema, transforming to splash from week three, and a robust collecting lymphatic vessel occurring from the fifth month, indicating mild lymphedema and lymphatic channel recovery, respectively.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Transient swelling was observed in all prefabricated flaps in our series. We postulate that this is mostly secondary to lymphatic disruption that subsides as lymphangiogenesis takes place. ICG lymphography is an inexpensive, safe, and easy-to-use imaging technology that could be used in the monitoring of postoperative lymphedema seen in prefabricated flaps.</AbstractText>
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<Affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</Affiliation>
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