## FREE FLAP MONITORING: A REVIEW OF CURRENT PRACTICE Despite their intuitive appeal, free flap monitoring technologies remain a largely unproven adjunct to microsurgical procedures. This paper is important in that it provides insight into the actual practice patterns of a large and diverse group
Free flap monitoring: A review of current practice
β Scribed by Martin B. Hirigoyen; Mark L. Urken; Hubert Weinberg
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 349 KB
- Volume
- 16
- Category
- Article
- ISSN
- 0738-1085
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Individual techniques for the postoperative monitoring of free flaps vary considerably. In order to establish the currently preferred protocols, a survey was conducted among microβsurgeons in North America using a mailed questionnaire. Data were received from 95 centers for the monitoring of 2,825 free flaps performed during 1994. Results indicate that rates for flap salvage and overall success with free tissue transfer are closely related to surgical experience (number of cases performed per month). Ninety percent of microsurgeons routinely use monitoring devices, with external and laser doppler having achieved greatest popularity. An account is given of the preferred postoperative regimens for flap surveillance, and the overall results are discussed. Β© 1995 WileyβLiss, Inc.
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Monitoring free-tissue transfers in the postoperative period is valuable for detection of failing flaps. As well as conventional methods, a myriad of sophisticated techniques have been reported in the literature. Using a postal questionnaire, a survey was conducted to delineate current protocols emp
## Abstract Fifty cases of oromandibular reconstruction using vascularized free flaps to evaluate functional parameters of results were evaluated. There were 23 iliac crest flaps, 17 fibula flaps, 30 ulnar forearm flaps, and 3 radial forearm flaps with bone. Thirteen female and 37 male patients com