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Journal articles
[Monitoring free flaps with cutaneous microdialysis: preliminary study in oral cavity reconstruction]
Abstract : INTRODUCTION: Postoperative monitoring of free flaps with microdialysis allows early diagnosis of anastomotic complications. Feasibi-lity studies are required to examine flap accessibility for oral cavity reconstruction. CASES: We present our preliminary findings in two patients who underwent radial free flap reconstruction of the floor of the mouth. For the first patient, a microprobe was used to monitor the flap for 45 hours. In the second case, an abdominal microprobe served as a control in healthy skin with another probe located in the cutaneous flap for 4 days. Flap monitoring, starting from the recovery room, was successful with easy manipulations for the nurse. Correlation between the monitoring curves and the clinical aspect of the flap was excellent. DISCUSSION: The microprobe should be short (1 cm), and carefully anchored. Naso-gastric feeding is required during monitoring. A close correlation has been found between glucose level and systolic pressure. The use of a comparative microprobe in healthy abdominal skin is helpful in learning to use the dialysis curves.
https://www.hal.inserm.fr/inserm-00473387
Contributor : Philippe Saas <>
Submitted on : Thursday, April 15, 2010 - 11:07:26 AM
Last modification on : Wednesday, September 16, 2020 - 10:43:29 AM
Contributor : Philippe Saas <>
Submitted on : Thursday, April 15, 2010 - 11:07:26 AM
Last modification on : Wednesday, September 16, 2020 - 10:43:29 AM