Effectiveness of small monitoring skin paddle in free muscle flap for scalp reconstruction
- Authors
- Park, Seong Oh; Son, Yoosung; Kim, Il-Kug; Jin, Ung Sik; Chang, Hak
- Issue Date
- Nov-2018
- Publisher
- WILEY
- Keywords
- flap monitoring; flap salvage; free muscle flap; monitoring skin paddle; scalp reconstruction
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.40, no.11, pp.2399 - 2408
- Indexed
- SCIE
SCOPUS
- Journal Title
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
- Volume
- 40
- Number
- 11
- Start Page
- 2399
- End Page
- 2408
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/149057
- DOI
- 10.1002/hed.25347
- ISSN
- 1043-3074
- Abstract
- Background
Monitoring free muscle flaps with skin grafts is difficult. To intensify the monitoring process for this type of flap, a small skin paddle was included in the flap and analyzed its effects.
Methods
A retrospective analysis of all patients who underwent scalp reconstruction with a free latissimus dorsi flap and skin graft between 1994 and 2016 was conducted. Flap monitoring was proceeded using a combination of clinical examination and handheld Doppler for both types of flaps.
Results
A total of 71 patients were included in this study and were divided into a study group (skin paddle included; n = 30) and a control group (conventional method; n = 41). The time between initial surgery to pedicle exploration was significantly shorter in the study group (11.3 ± 2.5 vs 79.8 ± 42.6 hours; P = .024). The flap salvage rate was significantly higher in the study group (100% vs 16.7%; P = .048).
Conclusion
The efficacy of flap monitoring and flap salvage outcomes were improved by including a small monitoring skin flap.
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