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

M. Brix 1 Patrice Muret 2, 3 B. Ricbourg 4 Philippe Humbert 3
1 Service de chirurgie plastique et maxillofaciale
2 Laboratoire de Pharmacologie Clinique et Toxicologie [Besancon]
3 HOTE GREFFON - Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098)
4 Service de Chirurgie Maxillo-Faciale et Stomatologie
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.
Type de document :
Article dans une revue
Revue de Stomatologie et de Chirurgie Maxillo-Faciale, Elsevier Masson, 2006, 107 (6), pp.460-4
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http://www.hal.inserm.fr/inserm-00473387
Contributeur : Philippe Saas <>
Soumis le : jeudi 15 avril 2010 - 11:07:26
Dernière modification le : lundi 9 juillet 2018 - 13:12:02

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

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UNIV-FCOMTE | UMR645 | UGA

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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, Elsevier Masson, 2006, 107 (6), pp.460-4. 〈inserm-00473387〉

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