[Diagnostic imaging of microcirculation of pedicled flap-plasties of the mandibulofacial area using the laser Doppler scanner].
Objective, non-invasive examination techniques in addition to clinical parameters are required to monitor the wound healing of flaps. With the new Laser-Doppler Scanner (LDI, PIM 1.0 Lisca Development AB, Sweden) it is possible to measure and visualize microcirculation continuously, non-invasively and without contact to the wound in an area of 12 x 12 cm. We performed measurements and simultaneous two-dimensional imaging of microcirculation 24, 48, 72 hours and five and 14 days postoperatively in 22 patients, who received reconstruction procedures with random or axial pattern flaps. The perfusion diagrams were correlated to the clinical aspect. Necrotic areas, venous stasis, and normal course of wound healing can be clearly visualized and differentiated. The new Laser-Doppler Imaging System (LDI) serves as an excellent aid for control and planning of flaps in plastic and reconstructive surgery.
Eichhorn
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Abteilung Mund-, Kiefer-, Gesichtschirurgie, Plastische Operationen, Evangelischen Krankenhauses Hattingen.
Auer
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Voy
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001783:Blood Flow Velocity / Q000502:physiology; D005145:Face / Q000098:blood supply*; D005151:Facial Injuries / Q000503:physiopathology / Q000601:surgery*; D005153:Facial Neoplasms / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D017078:Laser-Doppler Flowmetry / Q000295:instrumentation*; D008297:Male; D008833:Microcirculation / Q000503:physiopathology; D008875:Middle Aged; D012039:Regional Blood Flow / Q000502:physiology; D012815:Signal Processing, Computer-Assisted; D013524:Surgical Flaps / Q000502:physiology*; D014945:Wound Healing / Q000502:physiology
Bildliche Darstellung der Mikrozirkulation gestielter Lappenplastiken im Kiefer-Gesichtsbereich mit Hilfe des Laser-Doppler-Scanners.