Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index
Objective: To detect venous or arterial obstruction in the pedicle of a free flap we can monitor resistance in the flap bed which is reflected in Pulsatility Index (PI) Therefore if we detect change in the values of the PI in these flaps then we can detect complications in flap due to vascular insuf...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2017-05-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_23_17 |
| _version_ | 1819159972016029696 |
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| author | Akshay Kapoor Malay Karmakar Collin Roy Kaushal Priya Anand |
| author_facet | Akshay Kapoor Malay Karmakar Collin Roy Kaushal Priya Anand |
| author_sort | Akshay Kapoor |
| collection | DOAJ |
| description | Objective: To detect venous or arterial obstruction in the pedicle of a free flap we can monitor resistance in the flap bed which is reflected in Pulsatility Index (PI) Therefore if we detect change in the values of the PI in these flaps then we can detect complications in flap due to vascular insufficiency early. Materials and Methods: Seven patients of Free Fibular Flap Reconstruction and ten patients of Free Radial Forearm Flap reconstruction were evaluated over a period of 18 months. In the pre op we recorded PI of Radial and Peroneal artery using colour doppler study. In the Post Operative Period 2 readings of PI at the anastomotic site were taken on Day 1 and Day 7. Results: Both Free Radial Forearm and Free Fibula flaps which were healthy (n = 15) showed a significant decrease in PI values on first Post Op day as compared to Pre Op. Also there was a significant fall in PI on Post Op Day 7 as compared to post op Day 1 (P < 0.05) in these flaps. The flaps developing complications (n = 2) had significantly higher Day 1 Post op PI readings as compared to healthy flaps (P < 0.05). Conclusion: PI is an objective index which can indicate changes in perfusion of free flaps used in Head and Neck reconstruction based on which we can predict if a flap is susceptible to circulatory compromise. |
| first_indexed | 2024-12-22T16:49:02Z |
| format | Article |
| id | doaj.art-a40c1da03c07426196504b3ef90f78ad |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-22T16:49:02Z |
| publishDate | 2017-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-a40c1da03c07426196504b3ef90f78ad2022-12-21T18:19:38ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2017-05-01500217317910.4103/ijps.IJPS_23_17Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility indexAkshay Kapoor0Malay Karmakar1Collin Roy2Kaushal Priya Anand3Department of Plastic Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, IndiaDepartment of Radiodiagnosis, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, IndiaDepartment of Plastic Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, IndiaDepartment of Plastic Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, IndiaObjective: To detect venous or arterial obstruction in the pedicle of a free flap we can monitor resistance in the flap bed which is reflected in Pulsatility Index (PI) Therefore if we detect change in the values of the PI in these flaps then we can detect complications in flap due to vascular insufficiency early. Materials and Methods: Seven patients of Free Fibular Flap Reconstruction and ten patients of Free Radial Forearm Flap reconstruction were evaluated over a period of 18 months. In the pre op we recorded PI of Radial and Peroneal artery using colour doppler study. In the Post Operative Period 2 readings of PI at the anastomotic site were taken on Day 1 and Day 7. Results: Both Free Radial Forearm and Free Fibula flaps which were healthy (n = 15) showed a significant decrease in PI values on first Post Op day as compared to Pre Op. Also there was a significant fall in PI on Post Op Day 7 as compared to post op Day 1 (P < 0.05) in these flaps. The flaps developing complications (n = 2) had significantly higher Day 1 Post op PI readings as compared to healthy flaps (P < 0.05). Conclusion: PI is an objective index which can indicate changes in perfusion of free flaps used in Head and Neck reconstruction based on which we can predict if a flap is susceptible to circulatory compromise.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_23_17free flapshead and neck reconstructionpulsatility index |
| spellingShingle | Akshay Kapoor Malay Karmakar Collin Roy Kaushal Priya Anand Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index Indian Journal of Plastic Surgery free flaps head and neck reconstruction pulsatility index |
| title | Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index |
| title_full | Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index |
| title_fullStr | Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index |
| title_full_unstemmed | Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index |
| title_short | Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index |
| title_sort | assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index |
| topic | free flaps head and neck reconstruction pulsatility index |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_23_17 |
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