Literature DB >> 19554632

Evaluation of hand circulation before radial forearm free flap surgery.

Afroze S Khan1, John M D Henton, Titus S T Adams, Raghav C Dwivedi, Paul A Harris.   

Abstract

The radial forearm free flap (RFFF) is a versatile flap offering many reconstructive options for head and neck defects. Its low bulk, ease of dissection, and excellent vascularity are among its advantages. Its low flap loss and complication rates offer the best choice for the reconstruction of oral, oropharyngeal, and hypopharyngeal lining. Evaluation of collateral circulation to the hand is important to avoid distal ischemia and donor site morbidity. Pulse oximetry can be used to augment Allen's test to assess collateral supply to the hand. This cost-neutral technique can be used in routine preoperative screening prior to RFFF surgery.

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Year:  2009        PMID： 19554632     DOI： 10.1002/lary.20556

Source DB:  PubMed          Journal:  Laryngoscope        ISSN： 0023-852X            Impact factor:   3.325


  5 in total

1.  Intraoperative prediction of postoperative flap outcome using the near-infrared fluorophore methylene blue.

Authors:  Yoshitomo Ashitate; Bernard T Lee; Rita G Laurence; Elaine Lunsford; Merlijn Hutteman; Rafiou Oketokoun; Hak Soo Choi; John V Frangioni
Journal:  Ann Plast Surg       Date:  2013-03       Impact factor: 1.539

2.  Delayed reconstruction of the upper digestive tract in a patient following total pharyngolaryngectomy with resection of the cervical oesophagus.

Authors:  Mateusz Szewczyk; Jakub Pazdrowski; Paweł Golusiński; Wojciech Golusiński
Journal:  Rep Pract Oncol Radiother       Date:  2014-12-23

3.  Reconstruction of dorsal hand and finger defects with reverse radial fasciocutaneous forearm flaps.

Authors:  Mehmet Ali Acar; Ali Güleç; Bahattin Kerem Aydin; Ömer Faruk Erkoçak; Mehmet Elmadag; Faik Türkmen
Journal:  Eur J Orthop Surg Traumatol       Date:  2014-10-02

4.  Reduction of donor site morbidity of free radial forearm flaps: what level of evidence is available?

Authors:  Denys J Loeffelbein; Sammy Al-Benna; Lars Steinsträßer; Robin M Satanovskij; Nils H Rohleder; Thomas Mücke; Klaus-Dietrich Wolff; Marco R Kesting
Journal:  Eplasty       Date:  2012-02-03

5.  The Allen's test: revisiting the importance of bidirectional testing to determine candidacy and design of radial forearm free flap harvest in the era of trans radial endovascular access procedures.

Authors:  Andrew Foreman; John R de Almeida; Ralph Gilbert; David P Goldstein
Journal:  J Otolaryngol Head Neck Surg       Date:  2015-11-04
  5 in total

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