Progress of monitoring methods and preventions of disorder of blood supplying of expanded flaps
10.7507/1002-1892.201708056
- Author:
Yanxian LIN
1
Author Information
1. Department of Cervicofacial Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College
- Publication Type:Journal Article
- Keywords:
disorder of blood supplying;
Expanded flap;
flap transplantation;
monitoring method of blood supply
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2018;32(1):118-124
- CountryChina
- Language:Chinese
-
Abstract:
Results: Handheld Doppler, digital subtraction angiography, computer tomographic angiography, magnetic resonance angiography, and fluorescein angiography can be used as reliable preoperative imaging methods in designing expanded flaps with rich blood supply. Several techniques can be used for monitoring the blood supply of expanded flaps during the early postoperative period including traditional monitoring via physical examination, monitoring via dynamic infrared thermography, near-infrared spectroscopy tissue oximeter, external and implantable Doppler, and more recently developed diffuse correlation spectroscopy. Surgical delay, bloodletting, leech therapy, hyperbaric oxygen, and so on can decrease the risk of necrosis in expanded flaps.
