Prefabricated Cervical Skin Flaps for Hemi-Facial Resurfacing: Elucidating the Natural History of Postoperative Edema Using Indocyanine Green.
Identifieur interne : 000387 ( PubMed/Curation ); précédent : 000386; suivant : 000388Prefabricated Cervical Skin Flaps for Hemi-Facial Resurfacing: Elucidating the Natural History of Postoperative Edema Using Indocyanine Green.
Auteurs : Ke Li [République populaire de Chine] ; Peiru Min [République populaire de Chine] ; Parviz Sadigh [Royaume-Uni] ; Luca Grassetti [Italie] ; Davide Lazzeri [Italie] ; Matteo Torresetti [Italie] ; Riccardo Marsili [Italie] ; Shaoqing Feng [République populaire de Chine] ; Ningfei Liu [République populaire de Chine] ; Yi Xin Zhang [République populaire de Chine]Source :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
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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wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Ningfei" sort="Liu, Ningfei" uniqKey="Liu N" first="Ningfei" last="Liu">Ningfei Liu</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Yi Xin" sort="Zhang, Yi Xin" uniqKey="Zhang Y" first="Yi Xin" last="Zhang">Yi Xin Zhang</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28135123</idno><idno type="pmid">28135123</idno><idno type="doi">10.1089/lrb.2015.0043</idno><idno type="wicri:Area/PubMed/Corpus">000387</idno><idno type="wicri:explorRef" wicri:stream="PubMed" 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Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Min, Peiru" sort="Min, Peiru" uniqKey="Min P" first="Peiru" last="Min">Peiru Min</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Sadigh, Parviz" sort="Sadigh, Parviz" uniqKey="Sadigh P" first="Parviz" last="Sadigh">Parviz Sadigh</name><affiliation wicri:level="1"><nlm:affiliation>2 The Royal London Hospital , Department of Plastic Reconstructive Surgery, London, United Kingdom .</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>2 The Royal London Hospital , Department of Plastic Reconstructive Surgery, London</wicri:regionArea></affiliation></author><author><name sortKey="Grassetti, Luca" sort="Grassetti, Luca" uniqKey="Grassetti L" first="Luca" last="Grassetti">Luca Grassetti</name><affiliation wicri:level="1"><nlm:affiliation>3 Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona , Ancona, Italy .</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>3 Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona , Ancona</wicri:regionArea></affiliation></author><author><name sortKey="Lazzeri, Davide" sort="Lazzeri, Davide" uniqKey="Lazzeri D" first="Davide" last="Lazzeri">Davide Lazzeri</name><affiliation wicri:level="1"><nlm:affiliation>4 Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic , Rome, Italy .</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>4 Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic , Rome</wicri:regionArea></affiliation></author><author><name sortKey="Torresetti, Matteo" sort="Torresetti, Matteo" uniqKey="Torresetti M" first="Matteo" last="Torresetti">Matteo Torresetti</name><affiliation wicri:level="1"><nlm:affiliation>4 Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic , Rome, Italy .</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>4 Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic , Rome</wicri:regionArea></affiliation></author><author><name sortKey="Marsili, Riccardo" sort="Marsili, Riccardo" uniqKey="Marsili R" first="Riccardo" last="Marsili">Riccardo Marsili</name><affiliation wicri:level="1"><nlm:affiliation>5 Plastic and Reconstructive Surgery Unit, Hospital of Pisa , Pisa, Italy .</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>5 Plastic and Reconstructive Surgery Unit, Hospital of Pisa , Pisa</wicri:regionArea></affiliation></author><author><name sortKey="Feng, Shaoqing" sort="Feng, Shaoqing" uniqKey="Feng S" first="Shaoqing" last="Feng">Shaoqing Feng</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Ningfei" sort="Liu, Ningfei" uniqKey="Liu N" first="Ningfei" last="Liu">Ningfei Liu</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Yi Xin" sort="Zhang, Yi Xin" uniqKey="Zhang Y" first="Yi Xin" last="Zhang">Yi Xin Zhang</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai</wicri:regionArea></affiliation></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><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></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28135123</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>30</Day></DateCreated><DateRevised><Year>2017</Year><Month>04</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jan</Month><Day>30</Day></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><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></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Ke</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Min</LastName><ForeName>Peiru</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sadigh</LastName><ForeName>Parviz</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>2 The Royal London Hospital , Department of Plastic Reconstructive Surgery, London, United Kingdom .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grassetti</LastName><ForeName>Luca</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>3 Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona , Ancona, Italy .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lazzeri</LastName><ForeName>Davide</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>4 Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic , Rome, Italy .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Torresetti</LastName><ForeName>Matteo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>4 Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic , Rome, Italy .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marsili</LastName><ForeName>Riccardo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>5 Plastic and Reconstructive Surgery Unit, Hospital of Pisa , Pisa, Italy .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Feng</LastName><ForeName>Shaoqing</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Ningfei</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Yi Xin</ForeName><Initials>YX</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine , Shanghai, China .</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28135123</ArticleId><ArticleId IdType="doi">10.1089/lrb.2015.0043</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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