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Journal Articles Revue de Stomatologie et de Chirurgie Maxillo-Faciale Year : 2006

[Monitoring free flaps with cutaneous microdialysis: preliminary study in oral cavity reconstruction]

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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.
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Dates and versions

inserm-00473387 , version 1 (15-04-2010)

Identifiers

  • HAL Id : inserm-00473387 , version 1
  • PUBMED : 17195000

Cite

M. Brix, Patrice Muret, B. Ricbourg, Philippe Humbert. [Monitoring free flaps with cutaneous microdialysis: preliminary study in oral cavity reconstruction]. Revue de Stomatologie et de Chirurgie Maxillo-Faciale, 2006, 107 (6), pp.460-4. ⟨inserm-00473387⟩
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