title: Microdialysis monitoring of a craniofacial microvascular free flap reconstruction detected critical brain swelling.
abstract: Microdialysis is one of several methods described for monitoring the anastomosis and blood flow to the donor tissue in microvascular-free tissue transfer for craniofacial reconstructive surgery. A case is presented where a microdialysis free flap monitoring system detected metabolic aberrations within the free flap secondary to a rise in intracranial pressure, which the intracranial pressure monitor had failed to detect.
authors.affiliation: Oral Maxillo-Facial & Facial Plastic Surgery Department, Manchester Royal Infirmary, Manchester, UK. williamallen@doctors.org.uk
authors.forename: William N
authors.initials: WN
authors.lastname: Allen
authors.forename: Andrew
authors.initials: A
authors.lastname: King
authors.forename: Tim K
authors.initials: TK
authors.lastname: Blackburn
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D001929:Brain Edema / Q000175:diagnosis / Q000209:etiology; D003399:Craniotomy / Q000379:methods; D006801:Humans; D019586:Intracranial Hypertension / Q000628:therapy; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008833:Microcirculation / Q000502:physiology; D017551:Microdialysis / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012886:Skull / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply*