scholarly journals Microvascular Flap Reconstruction of Major Pharyngeal Resections With the Intent of Laryngeal Preservation

2009 ◽  
Vol 135 (8) ◽  
pp. 801 ◽  
Author(s):  
Baran D. Sumer ◽  
Brian R. Gastman ◽  
Brian Nussenbaum ◽  
Feng Gao ◽  
Bruce H. Haughey
Keyword(s):  
Flap Reconstruction ◽  
Laryngeal Preservation ◽  
Microvascular Flap

Craniectomy with microvascular flap reconstruction in a patient taking infliximab for vasculitis

2020 ◽  
Vol 13 (12) ◽  
pp. e238614
Author(s):  
Ogonna N Nnamani Silva ◽  
Audrey B Nguyen ◽  
William Y Hoffman
Keyword(s):  
Diabetes Mellitus ◽  
Latissimus Dorsi ◽  
Perioperative Management ◽  
Large Cell ◽  
Evidence Based ◽  
Flap Reconstruction ◽  
Biologic Drugs ◽  
Temporal Arteries ◽  
Immune Mediated ◽  
Microvascular Flap

For patients whose vasculitis is managed with biologic medications, no reports or evidence-based guidance exists regarding the perioperative management of microvascular flaps. We present a case of a 78-year-old patient with Takayasu’s arteritis (TA) and diabetes mellitus who was taking infliximab and underwent wide local excision of squamous cell carcinoma, craniectomy and reconstruction with a latissimus dorsi flap. TA, an immune-mediated large cell vasculitis characterised by granuloma formation, tends to affect larger vessels and aortic branches. The typical localisation of this condition raises concerns about potentially compromised pedicle and recipient vessels (ie, superficial temporal arteries), which could hinder postoperative flap success. Discontinuation of infliximab 4 weeks before surgery and resumption 6 weeks after led to favourable results. This case addresses the gap in the literature concerning stopping and restarting biologic drugs in the perioperative setting and documents a successful course of a microvascular procedure in a patient with vasculitis.

Factors Affecting Cancer Recurrence after Microvascular Flap Reconstruction of the Head and Neck

2005 ◽  
Vol 115 (8) ◽  
pp. 1391-1394 ◽  
Author(s):  
Jason Roostaeian ◽  
Jeffrey D. Suh ◽  
Joel A. Sercarz ◽  
Elliot Abemayor ◽  
Jivianne T. Lee ◽  
...  
Keyword(s):  
Head And Neck ◽  
Cancer Recurrence ◽  
Flap Reconstruction ◽  
Factors Affecting ◽  
Microvascular Flap

Microvascular Flap Reconstruction for Head and Neck Cancers in Previously Operated and/or Radiated Neck

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Vinay K. Shankhdhar ◽  
Mayur R. Mantri ◽  
Snehjeet Wagh ◽  
Shivakumar Thiagarajan ◽  
Devendra Chaukar ◽  
...  
Keyword(s):  
Head And Neck ◽  
Head And Neck Cancers ◽  
Flap Reconstruction ◽  
Microvascular Flap

Free skin flap reconstruction after partial hypopharyngectomy with laryngeal preservation

2014 ◽  
Vol 48 (5) ◽  
pp. 291-296 ◽  
Author(s):  
Katsuhiro Ishida ◽  
Takakuni Kato ◽  
Youichi Seino ◽  
Mitsuru Uchida
Keyword(s):  
Skin Flap ◽  
Flap Reconstruction ◽  
Laryngeal Preservation

Outcomes of microvascular flap reconstruction of the head and neck in patients receiving systemic immunosuppressive therapy for organ transplantation

2018 ◽  
Vol 117 (7) ◽  
pp. 1575-1583 ◽  
Author(s):  
Mark V. Schaverien ◽  
Riley A. Dean ◽  
Jeffrey N. Myers ◽  
Lin Fang ◽  
Rene D. Largo ◽  
...  
Keyword(s):  
Head And Neck ◽  
Immunosuppressive Therapy ◽  
Organ Transplantation ◽  
Flap Reconstruction ◽  
Microvascular Flap

scholarly journals Indications and Use of Hydrogen Peroxide during Microvascular Flap Reconstruction Surgery: A Literature and Procedural Use Review

2017 ◽  
Vol 02 (01) ◽  
pp. e23-e25
Author(s):  
E. Rodriguez-Collazo ◽  
D. Riddle ◽  
K. Schmidtke
Keyword(s):  
Hydrogen Peroxide ◽  
Arterial Disease ◽  
Tissue Loss ◽  
Flap Reconstruction ◽  
Muscle Belly ◽  
Reconstruction Surgery ◽  
Microvascular Flap ◽  
Peripheral Arterial

AbstractMicrovascular flap reconstruction surgery is a limb preservation procedure performed in an effort to maintain the integrity of the lower limb and avoid amputations. Individuals facing the prospect of amputation often have long-term diabetes with multiple comorbidities, including severe peripheral vascular disease; peripheral arterial disease; chronic ulcerations; and Charcot arthropathy. Long-term clinical research has shown that these patients are at much higher risk for secondary amputations after a first amputation is performed. According to Sohn et al, Charcot and ulcer groups had 4.1 and 4.7 amputations per 100 person-years, respectively. In patients younger than 65 years old at the end of follow-up, amputation risk, relative to patients with Charcot alone, was 7 times higher for patients with ulcer alone and 12 times higher for patients with Charcot and ulcer. Patients with infected hardware, suffering from acute ulcerative conditions, may also be candidates for this type of surgery due to extensive tissue loss secondary to infection. Microvascular flap reconstruction surgery is a highly technical surgery involving the use of orthoplastic techniques, which is performed under ×3.5 loupe magnification. Due to the inability to perform this procedure with the use of a tourniquet, visibility within the field is obfuscated from continuous blood flow along the dissected muscle belly. Hydrogen peroxide (H2O2) is an excellent alternative to tourniquet use. The use of H2O2 allows additional benefits, such as visual field clearance and antisepsis.

Selection of the recipient vein in microvascular flap reconstruction of the lower extremity: Analysis of 362 free-tissue transfers

2011 ◽  
Vol 64 (5) ◽  
pp. 649-655 ◽  
Author(s):  
Andrés Rodriguez Lorenzo ◽  
Cheng-Hung Lin ◽  
Chih-Hung Lin ◽  
Yu-Te Lin ◽  
Anh Nguyen ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Flap Reconstruction ◽  
Microvascular Flap ◽  
Selection Of
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