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Verfasst von:Jonas, René [VerfasserIn]   i
 Schaal, Thomas [VerfasserIn]   i
 Krimmel, Michael [VerfasserIn]   i
 Gülicher, Dirk [VerfasserIn]   i
 Reinert, Siegmar [VerfasserIn]   i
 Hoffmann, Jürgen [VerfasserIn]   i
Titel:Monitoring in microvascular tissue transfer by measurement of oxygen partial pressure
Titelzusatz:four years experience with 125 microsurgical transplants
Verf.angabe:René Jonas, Thomas Schaal, Michael Krimmel, Dirk Gülicher, Siegmar Reinert, Jürgen Hoffmann
Jahr:2013
Jahr des Originals:2012
Umfang:7 S.
Fussnoten:Gesehen am 08.04.2021 ; First published: 20 November 2012
Titel Quelle:Enthalten in: Journal of cranio-maxillofacial surgery
Ort Quelle:Oxford [u.a.] : Elsevier, 1987
Jahr Quelle:2013
Band/Heft Quelle:41(2013), 4 vom: Juni, Seite 303-309
ISSN Quelle:1878-4119
Abstract:In a prospective study, the characteristics and benefit of an invasive measurement of oxygen partial pressure (pO2) with the aid of a polarographic sensor were investigated in 125 microsurgical reconstructions of the head and neck area over a period of 45 months. Measurements were performed over 96 h in eight different types of microsurgically revascularized flaps for extra- and intraoral reconstructions and were evaluated separately for each flap type. Of 125 reconstructions the system indicated malperfusion in 18 cases. Salvage surgery was performed in 17 cases due to venous thrombosis (6 cases), arterial thrombosis (3 cases), a combination of arterial and venous thrombosis (2 cases), rheological problems (3 cases), venous insufficiency by hematoma (2 cases) and kinking of vessels (1 case). In 10 cases salvage surgery was successful, 7 flaps were lost despite salvage surgery. In all these cases, the polarographic probe indicated the necessity of salvage surgery correctly. After 96 h no malperfusion was seen. Postoperatively, a common and characteristic development of the oxygen partial pressure in different types of flaps was seen. Initially, a clear increase of pO2 could be measured. During 96 h, a slow decrease of pO2 was observed. In conclusion polarographic measurement of pO2 can be an excellent apparative supplement for the postoperative clinical control of microsurgically revascularized transplants. In buried flaps, this technique represents the only reliable method for transplant monitoring.
DOI:doi:10.1016/j.jcms.2012.10.008
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.jcms.2012.10.008
 Volltext: https://www.sciencedirect.com/science/article/pii/S1010518212002235
 DOI: https://doi.org/10.1016/j.jcms.2012.10.008
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Forearm flaps
 Free-flap monitoring
 Licox-probe
 Microsurgery
 Perforator flaps
 Plastic reconstructive surgery
 Polarographic
 Tissue oxygenation
 Tissue perfusion
K10plus-PPN:1753364930
Verknüpfungen:→ Zeitschrift

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