Comparative Response of Muscle and Subcutaneous Tissue pH During Arterial and Venous Occlusion in Musculocutaneous Flaps

Warner, K; Durham-Smith, Geoff; Butler, Michael; Attinger, Christopher E.; Upton, Joseph; Khuri, Shukri F.

doi:10.1097/00000637-198902000-00005

Cited by 23 publications

(17 citation statements)

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“…Tissue pH was also used in the literature. It was invasive and unable to distinguish arterial and venous occlusion . In 2013, Rothenberger and Fox et al reported a noninvasive, reliable and objective method by using laser doppler flowmetry and tissue spectrophotometry, although the series were small …”

Section: Discussionmentioning

confidence: 99%

Free tissue transfers in head and neck reconstruction: Complications, outcomes and strategies for management of flap failure: Analysis of 2019 flaps in single institute

et al. 2013

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Background: Free tissue transfer has become the preferred option for complex reconstructions in head and neck cancer ablation. This study reviewed the surgical outcome and analyzed the evolution of microsurgical head and neck reconstruction over 20 years in single institute. Patients and Methods: A total of 1,918 patients underwent microsurgical head and neck reconstructions in 20-year period. The surgical outcome and complications among these 2,019 flaps (1,223 anterolateral thigh flaps, 372 fibula flaps, 353 radial forearm flaps, 12 jejunal flaps, and 59 others) were retrospectively reviewed and analyzed. Results: A total of 201 cases required emergent surgical reexploration and the overall flap success rate was 96.2%. Venous insufficiency was the most common cause for re-exploration. Other major complications included fistula formation (5.4%), partial flap necrosis (7.5%), and infection (17.8%). The fibula flap had frequent complications compared with soft tissue flaps. The familiarity to the ALT flap had minimized complications and allowed for widely versatile uses. Conclusion: Free tissue transfer is shown to be highly reliable option for head and neck reconstruction. For soft tissue defect, ALT flap is the first choice. Fibula flap is ideal for bone defect reconstruction. In case of complex composite defects, double flaps, which include ALT and fibula flaps could reconstruct bone and soft tissue defects simultaneously with high success rate. V C 2013 Wiley Periodicals, Inc. Microsurgery 34:339-344, 2014.

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Section: Discussionmentioning

confidence: 99%

Free tissue transfers in head and neck reconstruction: Complications, outcomes and strategies for management of flap failure: Analysis of 2019 flaps in single institute

et al. 2013

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“…22,23 In addition, the obstruction of venous outflow results in persisting arterial inflow and the accumulation of highly unstable ogygen-derived free radicals. [24][25][26] These free radicals have detrimental effects on tissue viability. 24,27 When this is profound and prolonged as in the case of venous thrombosis, this can result in complete flap failure, as demonstrated with the 20% of venous thromboses in the one-vein group being unsalvageable.…”

Section: Discussionmentioning

confidence: 99%

A single center comparison of one versus two venous anastomoses in 564 consecutive DIEP flaps: Investigating the effect on venous congestion and flap survival

et al. 2009

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“…Multiple methods of flap monitoring have been developed in an attempt to find one that is objective, easy to use, valid and reproducible. The most common methods are laser Doppler flowmetry (Jones and Greenhalgh, 1983;Tsuzuki et al, 1990;Place et al, 1996;Yoshino et al, 1996;Yuen and Feng, 2000), plethysmography (Harrison and Mott, 1989), tissue pH monitoring (Raskin et al, 1983;Warner et al, 1989), transcutaneous oxygen monitoring (Smith et al, 1983;Katsaros et al, 1985;Wolff et al, 1996;Pickett et al, 2003;Schultze-Mosgau et al, 2003), intravenous sodium fluorescein monitoring (Silverman et al, 1980), temperature monitoring (Kaye, 1987), tissue oxygen tension (Liss and Liss, 2000;Kamolz et al, 2002) and others.…”

Section: Discussionmentioning

confidence: 99%

Free flap monitoring using simultaneous non-invasive laser Doppler flowmetry and tissue spectrophotometry

Hölzle

Loeffelbein

Nölte

et al. 2006

Journal of Cranio-Maxillofacial Surgery

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196

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Comparative Response of Muscle and Subcutaneous Tissue pH During Arterial and Venous Occlusion in Musculocutaneous Flaps

Cited by 23 publications

References 0 publications

Free tissue transfers in head and neck reconstruction: Complications, outcomes and strategies for management of flap failure: Analysis of 2019 flaps in single institute

Free tissue transfers in head and neck reconstruction: Complications, outcomes and strategies for management of flap failure: Analysis of 2019 flaps in single institute

A single center comparison of one versus two venous anastomoses in 564 consecutive DIEP flaps: Investigating the effect on venous congestion and flap survival

Free flap monitoring using simultaneous non-invasive laser Doppler flowmetry and tissue spectrophotometry

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