Rationale for the use of the implantable Doppler probe based on 7 years' experience

British Journal of Oral and Maxillofacial Surgery

Volumn 52, Issue 6, 2014, Pages 530-534

  Ho, M W ^a   Cassidy, C ^a   Brown, J S ^a,b   Shaw, R J ^a,b   Bekiroglu, F ^a   Rogers, S N ^a,c  

^a ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

^b UNIVERSITY OF LIVERPOOL   (United Kingdom)

^c EDGE HILL UNIVERSITY   (United Kingdom)

Author keywords

Exploration free flap; Flap failure; Flap salvage; Free flap reconstruction; Head and neck; Implantable Doppler

Indexed keywords

ARTICLE; CANCER RADIOTHERAPY; CANCER SURGERY; CLINICAL PRACTICE; COMORBIDITY; DOPPLER DEVICE; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FREE TISSUE GRAFT; GRAFT FAILURE; GRAFT PERFUSION; GRAFT SALVAGE; GRAFT SURVIVAL; IMPLANTABLE DOPPLER PROBE; LOW RISK PATIENT; MEDICAL RECORD REVIEW; MICROVASCULAR SURGERY; PATIENT MONITORING; PLASTIC SURGERY; SENSITIVITY AND SENSIBILITY; TREATMENT INDICATION; TREATMENT OUTCOME; BLOOD FLOW; CARCINOMA, SQUAMOUS CELL; COHORT ANALYSIS; COMPARATIVE STUDY; DEVICES; DOPPLER ULTRASONOGRAPHY; FASCIA; FEMALE; HUMAN; LABORATORY DIAGNOSIS; MALE; MANDIBULAR DISEASES; MICROSURGERY; MOUTH NEOPLASMS; OSTEORADIONECROSIS; PHYSIOLOGIC MONITORING; PHYSIOLOGY; PROCEDURES; RECONSTRUCTIVE SURGERY; REOPERATION; RETROSPECTIVE STUDY; SALVAGE THERAPY; SENSITIVITY AND SPECIFICITY; SKIN TRANSPLANTATION; STATISTICS AND NUMERICAL DATA; TRANSPLANTATION; VASCULARIZATION;

CARCINOMA, SQUAMOUS CELL; COHORT STUDIES; FALSE NEGATIVE REACTIONS; FALSE POSITIVE REACTIONS; FASCIA; FEMALE; FREE TISSUE FLAPS; GRAFT SURVIVAL; HUMANS; MALE; MANDIBULAR DISEASES; MICROSURGERY; MONITORING, PHYSIOLOGIC; MOUTH NEOPLASMS; OSTEORADIONECROSIS; RECONSTRUCTIVE SURGICAL PROCEDURES; REGIONAL BLOOD FLOW; REOPERATION; RETROSPECTIVE STUDIES; SALVAGE THERAPY; SENSITIVITY AND SPECIFICITY; SKIN TRANSPLANTATION; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER;

EID: 84902551565     PISSN: 02664356     EISSN: 15321940     Source Type: Journal    
DOI: 10.1016/j.bjoms.2014.03.014     Document Type: Article

References (19)

1. M.W. Ho, J.S. Brown, and P. Magennis et al. Salvage outcomes of free tissue transfer in Liverpool: trends over 18 years (1992-2009) Br J Oral Maxillofac Surg 50 2012 13 18
2. P. Yu, D.W. Chang, and M.J. Miller et al. Analysis of 49 cases of flap compromise in 1310 free flaps for head and neck reconstruction Head Neck 31 2009 45 51
3. M.W. Ho, L. Houghton, and E. Gillmartin et al. Outcomes following pharyngolaryngectomy reconstruction with the anterolateral thigh (ALT) free flap Br J Oral Maxillofac Surg 50 2012 19 24
4. W.M. Swartz, N.F. Jones, and L. Cherup et al. Direct monitoring of microvascular anastomoses with the 20-MHz ultrasonic Doppler probe: an experimental and clinical study Plast Reconstr Surg 81 1988 149 161
5. J.P. Guillemaud, H. Seikaly, and D. Cote et al. The implantable Cook-Swartz Doppler probe for postoperative monitoring in head and neck free flap reconstruction Arch Otolaryngol Head Neck Surg 134 2008 729 734
6. K.Z. Paydar, S.L. Hansen, and D.S. Chang et al. Implantable venous Doppler monitoring in head and neck free flap reconstruction increases the salvage rate Plast Reconstr Surg 125 2010 1129 1134
7. S.B. Cannady, N. Dean, and A. Kroeker et al. Free flap reconstruction for osteoradionecrosis of the jaws - outcomes and predictive factors for success Head Neck 33 2011 424 428
8. D.P. Baumann, P. Yu, and M.M. Hanasono et al. Free flap reconstruction of osteoradionecrosis of the mandible: a 10-year review and defect classification Head Neck 33 2011 800 807
9. W.M. Rozen, D. Chubb, and I.S. Whitaker et al. The efficacy of postoperative monitoring: a single surgeon comparison of clinical monitoring and the implantable Doppler probe in 547 consecutive free flaps Microsurgery 30 2010 105 110
10. A. Schmulder, E. Gur, and A. Zaretski Eight-year experience of the Cook-Swartz Doppler in free-flap operations: microsurgical and reexploration results with regard to a wide spectrum of surgeries Microsurgery 31 2011 1 6
11. J.M. Smit, P.M. Werker, and A.G. Liss et al. Introduction of the implantable Doppler system did not lead to an increased salvage rate of compromised flaps: a multivariate analysis Plast Reconstr Surg 125 2010 1710 1717
12. T.G. Poder, and P.H. Fortier Implantable Doppler in monitoring free flaps: a cost-effectiveness analysis based on a systematic review of the literature Eur Ann Otorhinolaryngol Head Neck Dis 130 2013 79 85
13. W.M. Rozen, G.G. Ang, and R. Acosta et al. Bedside maneuvers and waveform changes in the interpretation of the implantable Doppler probe signal for free-flap monitoring Microsurgery 30 2010 670 671
14. J.J. Rosenberg, B.D. Fornage, and P.M. Chevray Monitoring buried free flaps: limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test Plast Reconstr Surg 118 2006 109 113
15. S.G. Pryor, E.J. Moore, and J.L. Kasperbauer Implantable Doppler flow system: experience with 24 microvascular free-flap operations Otolaryngol Head Neck Surg 135 2006 714 718
16. J. de la Torre, W. Hedden, and J.H. Grant III et al. Retrospective review of the internal Doppler probe for intra- and postoperative microvascular surveillance J Reconstr Microsurg 19 2003 287 290
17. J.M. Smit, S. Klein, and E.H. de Jong et al. Value of the implantable Doppler system in free flap monitoring J Plast Reconstr Aesthet Surg 65 2012 1276 1277
18. A.L. Pusic, C.M. Chen, and S. Patel et al. Microvascular reconstruction of the skull base: a clinical approach to surgical defect classification and flap selection Skull Base 17 2007 5 15
19. T. Mücke, D.J. Loeffelbein, and A. Kolk et al. Comparison of outcome of microvascular bony head and neck reconstructions using the fibular free flap and the iliac crest flap Br J Oral Maxillofac Surg 51 2013 514 519