A Simplest Method of Flap Monitoring
A Simplest Method of Flap Monitoring
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DOI：
10.1055/s-0030-1251562
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发表时间：
2010-09-01
影响因子：
2.1
通讯作者：
Tahara, Shinya
中科院分区：
文献类型：
--
作者：
Sakakibara, Shunsuke;Hashikawa, Kazunobu;Tahara, Shinya
描述了4例患者的无组织瓣重建（表[1]）和2例患者的局部皮瓣重建（表[2]）。游离皮瓣转移包括一个背阔肌肌皮瓣转移到足部，一个空肠转移到下咽癌切除术后的咽部缺损，一个前臂皮瓣转移到舌癌切除术后的缺损，一个腓骨转移到胫骨复合骨折区域。两种局部皮瓣均为鼻唇沟皮瓣。所有伴静脉血栓形成的游离皮瓣移植病例均显示血糖值较低（表[1]）。3例患者的局部皮瓣重建显示充血，需要静脉切开术，其血糖值低于对照组，有趣的是，随着距离关键点的距离逐渐降低。
RESULTSFree-flap reconstruction on four patients (Table [1]) and local flap reconstruction on two patients (Table [2]) is described. The free-flap transfers comprised one latissimus dorsi musculocutaneous flap transfer to the foot, one jejunum transfer to a pharyngeal defect after hypopharyngeal cancer resection, one forearm-flap transfer to a defect after lingual cancer resection, and one fibula-bone transfer to the region of a compound tibial-bone fracture. The two local flaps were both for nasolabial flap reconstruction. All cases of free-flap transfer with venous thrombosis showed low blood glucose values (Table [1]). The local flap reconstruction on three patients demonstrated congestion that necessitated phlebotomy, and their value of blood glucose was lower than that of the control and, interestingly, showed a gradual decrease with distance from the pivotal point.