Monitoring in microvascular tissue transfer by measurement of oxygen partial pressure: Four years experience with 125 microsurgical transplants

Journal of Cranio-Maxillofacial Surgery

Volumn 41, Issue 4, 2013, Pages 303-309

  Jonas, René ^a   Schaal, Thomas ^a   Krimmel, Michael ^a   Gülicher, Dirk ^a   Reinert, Siegmar ^a   Hoffmann, Jürgen ^a,b  

^a UNIVERSITY HOSPITAL TÜBINGEN   (Germany)

^b UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

Author keywords

Forearm flaps; Free flap monitoring; Licox probe; Microsurgery; Perforator flaps; Plastic reconstructive surgery; Polarographic; Tissue oxygenation; Tissue perfusion

Indexed keywords

ADULT; ARTERY THROMBOSIS; ARTICLE; BLOOD OXYGEN TENSION; FEMALE; HEMATOMA; HUMAN; MAJOR CLINICAL STUDY; MALE; MAXILLOFACIAL SURGERY; MICROVASCULAR SURGERY; POLAROGRAPHY; POSTOPERATIVE PERIOD; PROSPECTIVE STUDY; REVASCULARIZATION; TISSUE FLAP; VEIN INSUFFICIENCY; VEIN THROMBOSIS;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BONE TRANSPLANTATION; ELECTRODES, IMPLANTED; FASCIA; FEMALE; FREE TISSUE FLAPS; GRAFT SURVIVAL; HUMANS; MALE; MICROSURGERY; MIDDLE AGED; MONITORING, PHYSIOLOGIC; MOUTH NEOPLASMS; MUSCLE, SKELETAL; OXYGEN; PARTIAL PRESSURE; POLAROGRAPHY; PROSPECTIVE STUDIES; RECONSTRUCTIVE SURGICAL PROCEDURES; REGIONAL BLOOD FLOW; SALVAGE THERAPY; SKIN TRANSPLANTATION; VENOUS INSUFFICIENCY; VENOUS THROMBOSIS; YOUNG ADULT;

EID: 84876687097     PISSN: 10105182     EISSN: 18784119     Source Type: Journal    
DOI: 10.1016/j.jcms.2012.10.008     Document Type: Article

References (45)

1. J.S. Brown, J.C. Devine, P. Magennis, P. Sillifant, S.N. Rogers, and E.D. Vaughan Factors that influence the outcome of salvage in free tissue transfer Br J Oral Maxillofac Surg 41 2003 16 20
2. D.T. Bui, P.G. Cordeiro, Q.Y. Hu, J.J. Disa, A. Pusic, and B.J. Mehrara Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps Plast Reconstr Surg 119 2007 2092 2100
3. K.T. Chen, S. Mardini, D.C. Chuang, C.H. Lin, M.H. Cheng, and Y.T. Lin Timing of presentation of the first signs of vascular compromise dictates the salvage outcome of free flap transfers Plast Reconstr Surg 120 2007 187 195
4. O.K. Coskunfirat, H.C. Chen, S. Spanio, and Y.B. Tang The safety of microvascular free tissue transfer in the elderly population Plast Reconstr Surg 115 2005 771 775
5. J.C. de Vicente, T. Rodríguez-Santamarta, P. Rosado, I. Peña, and L. de Villalaín Survival after free flap reconstruction in patients with advanced oral squamous cell carcinoma J Oral Maxillofac Surg 70 2011 453 459
6. J.J. Disa, A.L. Pusic, D.H. Hidalgo, and P.G. Cordeiro Simplifying microvascular head and neck reconstruction: a rational approach to donor site selection Ann Plast Surg 47 2001 385 389
7. O. Driemel, I. Oberfahrenhorst, S.G. Hakim, H. Kosmehl, and H. Pistner Intra- and postoperative monitoring of transplanted flaps. Measurement of the partial pressure of oxygen in tissue Mund Kiefer Gesichtschir 8 2004 361 368
8. A. Eckardt, and K. Fokas Microsurgical reconstruction in the head and neck region: an 18-year experience with 500 consecutive cases J Craniomaxillofac Surg 31 2003 197 201
9. U. Eckelt, S. Weiss, and H. Lerch Follow-up with bone scintigraphy using tomography emission technique (SPECT) after reconstruction of the mandible with iliac crest transplants Fortschr Kiefer Gesichtschir 39 1994 160 161
10. R.M. Esclamado, and W.R. Carroll The pathogenesis of vascular thrombosis and its impact in microvascular surgery Head Neck 21 1999 355 362
11. 2) during aneurysm surgery Acta Neurochir (Wien) 144 2002 863 866 discussion 866-867
12. E.M. Genden, A. Rinaldo, C. Suárez, W.I. Wei, P.J. Bradley, and A. Ferlito Complications of free flap transfers for head and neck reconstruction following cancer resection Oral Oncol 40 2004 979 984
13. D.A. Hidalgo, J.J. Disa, P.G. Cordeiro, and Q.Y. Hu A review of 716 consecutive free flaps for oncologic surgical defects: refinement in donor-site selection and technique Plast Reconstr Surg 102 1998 722 732 discussion 733-734
14. D.A. Hidalgo, and C.S. Jones The role of emergent exploration in free-tissue transfer: a review of 150 consecutive cases Plast Reconstr Surg 86 1990 492 498 discussion 499-501
15. M.B. Hirigoyen, K.E. Blackwell, W.X. Zhang, L. Silver, H. Weinberg, and M.L. Urken Continuous tissue oxygen tension measurement as a monitor of free-flap viability Plast Reconstr Surg 99 1997 763 773
16. V.E. Hjortdal, A.M. Awwad, F. Gottrup, L. Kirkegaard, and S. Gellett Tissue oxygen tension measurement for monitoring musculocutaneous and cutaneous flaps Scand J Plast Reconstr Surg Hand Surg 24 1990 27 30
17. S.O. Hofer, E.J. Timmenga, R. Christiano, and K.E. Bos An intravascular oxygen tension monitoring device used in myocutaneous transplants: a preliminary report Microsurgery 14 1993 304 309 discussion 310-311
18. S.O. Hofer, A.J. van der Kleij, P.F. Gründeman, and P.J. Klopper Continuous tissue oxygenation assessment during bloodflow alterations in an isolated hindlimb model of the pig Adv Exp Med Biol 345 1994 693 700
19. G. Hoffman, S. Islam, and R. Eisenberg Microvascular reconstruction of the mouth, jaws, and face: experience of an Australian oral and maxillofacial surgery unit J Oral Maxillofac Surg 70 2012 e371 e377
20. F. Hölzle, D.J. Loeffelbein, D. Nolte, and K.D. Wolff Free flap monitoring using simultaneous non-invasive laser Doppler flowmetry and tissue spectrophotometry J Craniomaxillofac Surg 34 2006 25 33
21. F. Hölzle, A. Rau, D.J. Loeffelbein, T. Mücke, M.R. Kesting, and K.D. Wolff Results of monitoring fasciocutaneous, myocutaneous, osteocutaneous and perforator flaps: 4-year experience with 166 cases Int J Oral Maxillofac Surg 39 2010 21 28
22. N. Jallali, H. Ridha, and P.E. Butler Postoperative monitoring of free flaps in UK plastic surgery units Microsurgery 25 2005 469 472
23. L.P. Kamolz, K.F. Schrögendorfer, P. Giovanoli, R. Koller, and M. Frey Continuous free-flap monitoring with tissue-oxygen measurements: experiences of the last years Handchir Mikrochir Plast Chir 34 2002 195 200
24. P. Kessler, L. Poort, R. Böckmann, and B. Lethaus Definition of quality indicators in microsurgery in head and neck reconstruction based on a 5-year follow-up without a loss J Craniomaxillofac Surg 2012 epub ahead of print
25. R.K. Khouri, B.C. Cooley, A.R. Kunselman, J.R. Landis, P. Yeramian, and D. Ingram A prospective study of microvascular free-flap surgery and outcome Plast Reconstr Surg 102 1998 711 721
26. S.S. Kroll, and L. Rosenfield Perforator-based flaps for low posterior midline defects Plast Reconstr Surg 81 1998 561 566
27. S.S. Kroll, M.A. Schusterman, G.P. Reece, M.J. Miller, G.R. Evans, and G.L. Robb Timing of pedicle thrombosis and flap loss after free-tissue transfer Plast Reconstr Surg 98 1996 1230 1233
28. J. Lundberg, A. Elander, O. Rakotonirainy, T. Zetterlund, I. Fogdestam, and B. Soussi Energy metabolism during microsurgical transfer of human skeletal muscle assessed by high-pressure liquid chromatography and by 31P-nuclear magnetic resonance Scand J Plast Reconstr Surg Hand Surg 36 2002 141 148
29. A.I. Maas, W. Fleckenstein, D.A. de Jong, and H. van Santbrink Monitoring cerebral oxygenation: experimental studies and preliminary clinical results of continuous monitoring of cerebrospinal fluid and brain tissue oxygen tension Acta Neurochir Suppl (Wien) 59 1993 50 57
30. H.G. Machens, P. Mailänder, M. Kremer, R. Reimer, and A. Berger Techniques for postoperative monitoring of tissue circulation after free microvascular tissue transplantation Handchir Mikrochir Plast Chir 31 1999 107 112
31. 2: a new technique for monitoring flap viability Ann Plast Surg 20 1988 43 47
32. T. Mücke, A.A. Müller, K. Kansy, W. Hallermann, H. Kerkmann, N. Schuck DÖSAK Collaborative Group for Microsurgical Reconstruction Microsurgical reconstruction of the head and neck-current practice of maxillofacial units in Germany, Austria, and Switzerland J Craniomaxillofac Surg 39 2011 449 452
33. T. Nakatsuka, K. Harii, H. Asato, A. Takushima, S. Ebihara, and Y. Kimata Analytic review of 2372 free flap transfers for head and neck reconstruction following cancer resection J Reconstr Microsurg 19 2003 363 368 discussion 369
34. D. Novakovic, R.S. Patel, D.P. Goldstein, and P.J. Gullane Salvage of failed free flaps used in head and neck reconstruction Head Neck Oncol 1 2009 33
35. P. Pohlenz, M. Blessmann, M. Heiland, F. Blake, R. Schmelzle, and L. Li Postoperative complications in 202 cases of microvascular head and neck reconstruction J Craniomaxillofac Surg 35 2007 311 315
36. L. Raittinen, J. Laranne, G. Baer, and J. Pukander How we do it: postoperative tissue oxygen monitoring in microvascular free flaps Clin Otolaryngol 30 2005 276 278
37. 2 measurements on microvascular anastomosed osseous and myocutaneous flaps in comparison to regional flaps-a prospective clinical study 1995 RM-Druck und Verlagsgesellschaft m. b. H. Graz
38. W.W. Shaw, C.Y. Ko, C.Y. Ahn, and B.L. Markowitz Safe ischemia time in free-flap surgery: a clinical study of contact-surface cooling J Reconstr Microsurg 12 1996 421 424
39. N. Sinis, H. Rennekampff, M. Haerle, and H.E. Schaller Free flap monitoring with continuous tissue oxygen tension measurement European Journal of Plastic Surgery 28 2006 507 512
40. J.M. Smit, R. Acosta, C.J. Zeebregts, A.G. Liss, M. Anniko, and E.H. Hartman Early reintervention of compromised free flaps improves success rate Microsurgery 27 2007 612 616
41. J.M. Strauss, F.W. Neukam, S. Krohn, R. Schmelzeisen, and F. Borchard Postoperative monitoring of microvascular flap repair with pulse oximetry-initial experience Handchir Mikrochir Plast Chir 26 1994 80 83
42. J.D. Suh, J.A. Sercarz, E. Abemayor, T.C. Calcaterra, J.D. Rawnsley, and D. Alam Analysis of outcome and complications in 400 cases of microvascular head and neck reconstruction Arch Otolaryngol Head Neck Surg 130 2004 962 966
43. 2 to outcome after severe head injury Crit Care Med 26 1998 1576 1581
44. K.D. Wolff, and D. Stiller Ischemia tolerance of free-muscle flaps: an NMR-spectroscopic study in the rat Plast Reconstr Surg 91 1993 485 491
45. T. Zhang, J. Lubek, A. Salama, J. Caccamese, D. Coletti, and D. Dyalram Venous anastomoses using microvascular coupler in free flap head and neck reconstruction J Oral Maxillofac Surg 70 2011 992 996