The fate of the free flap pedicle after free tissue transfer to the head and neck area.

Abstract:

OBJECTIVES:Little is understood about what happens to the vascular pedicle following free tissue transfer in the head and neck region. The viability of a free flap completely depends on the vascular supply by its vascular pedicle until neovascularization occurs from surrounding tissues. The aim of this study is to find out how long a vascular pedicle lasts following free tissue transfer in the head and neck region. MATERIALS AND METHODS:Patients were recruited from the Maxillofacial Unit at the Royal Brisbane & Women's Hospital. A Doppler ultrasound was used to map the vascular pedicle immediately postoperatively, at 2weeks, 6weeks, 3months and 6months. RESULTS:Fifty-seven consecutive free flaps underwent colour Doppler ultrasonography at the timepoints described demonstrating the status of the vascular pedicle. All the patients underwent reconstructive head and neck surgery with a wide variety of soft tissue and composite free flaps. CONCLUSION:This study is the first to document the fate of the vascular pedicle over a long time period for a wide variety of head and neck free flaps. This information is important when undertaking revision surgery to the free flap, or planning the vascular supply for a second or third free flap to the head and neck region.

journal_name

Oral Oncol

journal_title

Oral oncology

authors

Van Genechten ML,Batstone MD

doi

10.1016/j.oraloncology.2016.12.013

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

65-67

eissn

1368-8375

issn

1879-0593

pii

S1368-8375(16)30248-2

journal_volume

65

pub_type

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