PMID: 8961018Oct 1, 1996Paper

Clinical effectiveness of 99mTc-diphosphonate scintigraphy of revascularized iliac crest flaps

International Journal of Oral and Maxillofacial Surgery
L E SmeeleC R Leemans

Abstract

Clinical assessment of the perfusion of the musculocutaneous portion of composite iliac crest free flaps was compared to 99mTc-diphosphonate (HDP) uptake in 14 patients who underwent primary oromandibular reconstruction after ablative cancer surgery. Bone scanning was performed on average at the 9-10th postoperative day (range 4-48) 3 h after intravenous injection of 550 MBq 99mTc-HDP. Eleven patients showed complete concordance between 99mTc-HDP uptake and soft-tissue status. Two patients showed uptake and viable muscle in spite of necrotic skin. One patient had a viable musculocutaneous flap but a photopenic defect in the bone graft; 6 months later, a small corresponding part of the bone was sequestrated. In this study, bone scanning and clinical assessment of muscle perfusion were 100% accurate in predicting viability of bone grafts. Skin viability was a less reliable parameter. It is concluded that bone scanning is not indicated as a routine investigation for revascularized iliac crest flaps and that clinical assessment of muscle perfusion is a reliable monitor of the early function of such flaps.

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Citations

Apr 18, 2006·Annals of Nuclear Medicine·Gulgun BuyukdereliErol Kesiktas
Dec 13, 2000·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·R SchimmingR Schmelzeisen
Aug 17, 2001·Annals of Plastic Surgery·O OzkanY Erk
Nov 14, 2013·The Journal of Craniofacial Surgery·Hasan Ikbal AtilganDuygu Kankaya
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Mar 1, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Zhiwei DongYanpu Liu
Jul 24, 2001·Seizure : the Journal of the British Epilepsy Association·D Kitchen, D Smith
Oct 13, 2000·International Journal of Oral and Maxillofacial Surgery·H HaradaM Nakamura
Jan 10, 2017·The British Journal of Oral & Maxillofacial Surgery·J S BrownA Schache
Jan 12, 2013·Artificial Cells, Nanomedicine, and Biotechnology·Weimin ZhuYanjun Zeng
Jun 13, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Kasım KilicarslanSeyda Turkolmez
Aug 12, 1999·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·J P MeningaudJ C Bertrand

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