Haemodynamic changes in the fingers after free radial forearm flap transfer: a prospective study using SPP

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Akira YanagisawaShinya Tahara

Abstract

Harvesting the radial forearm flap may cause circulatory problems in the donor arm. To investigate the influence on donor hands after radial forearm flap harvesting, we assessed the process of circulatory changes prospectively by measuring skin perfusion pressure (SPP) that is clinically useful in detecting vascular lesions. The records of 17 patients (14 men and 3 women aged 59.7+/-11.8 years) who had undergone free radial forearm flap transfer for head and neck reconstruction, between December 2005 and April 2007, were analysed. SPP in the thumb (finger I), the middle finger (III) and the little finger (V) was measured in the 17 patients preoperatively and 1 month and 3, 6, 9 and 12 months postoperatively. All statistical tests were two sided, with a significance level defined as p<0.05. Preoperatively, baseline SPP was more dominant in finger I than in finger V. Postoperatively, SPP changed significantly in both fingers, while it showed no change in finger III and tended to be higher in finger I than in the other two. Harvesting the free radial forearm flap reduces skin perfusion in the fingers of the donor arm and, we assume, leads to a re-distribution of blood flow to the fingers, with the residual ulnar artery still suppl...Continue Reading

References

Sep 1, 1978·British Journal of Anaesthesia·B Husum, T Palm
Jul 1, 1988·Journal of Reconstructive Microsurgery·P BrennerL Caspary
Mar 1, 1987·British Journal of Plastic Surgery·G I Taylor, J H Palmer
Apr 1, 1993·Plastic and Reconstructive Surgery·N B MelandV R Hoverman
Jan 1, 1997·Plastic and Reconstructive Surgery·D RichardsonJ S Brown
Sep 15, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M GrossebnerA Ritchie
Dec 30, 1999·The American Journal of Cardiology·M SerricchioG Possati
Jun 23, 2001·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·J Rafael SadabaC Munsch
Apr 10, 2003·The Annals of Thoracic Surgery·William C F ChongNeil E Moat
Apr 25, 2003·Plastic and Reconstructive Surgery·Max HaerleFrancesco Brunelli
Jun 3, 2004·The Annals of Thoracic Surgery·Hyun-Sung LeeYoun Jeong Heo
Jul 28, 2004·The Annals of Thoracic Surgery·Alistair G RoyseAnurag Garg

❮ Previous
Next ❯

Citations

Feb 17, 2015·The Laryngoscope·Steven R Taylor, Jeffrey B Jorgensen
Sep 18, 2013·The Journal of Vascular Access·Akihito TanakaToyoaki Murohara

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.