Rapid autonomisation of a combined fibular- and anterolateral thigh flap transferred by a wrist carrier to an irradiated and vessel depleted neck.
In an irradiated and vessel depleted neck, we used the wrist carrier technique to provide flap perfusion until autonomisation took place. A combined anterolateral thigh- and osteocutaneous fibular flap was anastomosed to the radial vessels of an irradiated patient with a vessel depleted neck for reconstruction of the lower face. Periodical pedicle occlusion started immediately after surgery. On day 16, cutaneous blood flow and oxygenation were still reduced, but wound healing was uneventful.
Wolff
Klaus-Dietrich
KD
Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, Munich, Germany.
Mücke
Thomas
T
Lehmbrock
Jutta
J
Loeffelbein
Denys J
DJ
Kesting
Marco R
MR
Hölzle
Frank
F
D000714:Anastomosis, Surgical / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D005542:Forearm; D006258:Head and Neck Neoplasms / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D019194:Ischemic Preconditioning; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000098:blood supply* / Q000601:surgery*; D017534:Radial Artery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D013848:Thigh; D014953:Wrist