Pedicle transfer in oral cavity reconstruction
In head and neck reconstructions when a free flap is used intra orally to provide the lining its vascular pedicle has to be transferred to the neck for anastomosis. This has to be performed in such a way that the pedicle does not get kinked or twisted. The pedicle is enrolled in a split open glove f...
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Format: | Article |
Language: | English |
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Thieme Medical Publishers, Inc.
2010-01-01
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Series: | Indian Journal of Plastic Surgery |
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699409 |
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author | Prabha S. Yadav Quazi G. Ahmad Vinay K. Shankhdhar G. I. Nambi |
author_facet | Prabha S. Yadav Quazi G. Ahmad Vinay K. Shankhdhar G. I. Nambi |
author_sort | Prabha S. Yadav |
collection | DOAJ |
description | In head and neck reconstructions when a free flap is used intra orally to provide the lining its vascular pedicle has to be transferred to the neck for anastomosis. This has to be performed in such a way that the pedicle does not get kinked or twisted. The pedicle is enrolled in a split open glove from its point of entry into the flap till its proximal most part. In order to prevent twisting of the vessels and to maintain orientation, the glove is wrapped in such a way that the imprint on the glove is on the visualized surface. The glove wrapped pedicle is passed from inside the oral cavity while an artery clamp passed from the neck wound through the submandibular or subcutaneous tunnel holds the tip of the glove component and guides it safely to the neck without exerting any traction on the flap or the pedicle vessels. |
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format | Article |
id | doaj.art-de236980c6e04e7aac93612778f3fdaf |
institution | Directory Open Access Journal |
issn | 0970-0358 1998-376X |
language | English |
last_indexed | 2024-12-19T05:29:12Z |
publishDate | 2010-01-01 |
publisher | Thieme Medical Publishers, Inc. |
record_format | Article |
series | Indian Journal of Plastic Surgery |
spelling | doaj.art-de236980c6e04e7aac93612778f3fdaf2022-12-21T20:34:18ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2010-01-01430107908010.1055/s-0039-1699409Pedicle transfer in oral cavity reconstructionPrabha S. Yadav0Quazi G. Ahmad1Vinay K. Shankhdhar2G. I. Nambi3Plastic & Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, IndiaPlastic & Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, IndiaPlastic & Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, IndiaPlastic & Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, IndiaIn head and neck reconstructions when a free flap is used intra orally to provide the lining its vascular pedicle has to be transferred to the neck for anastomosis. This has to be performed in such a way that the pedicle does not get kinked or twisted. The pedicle is enrolled in a split open glove from its point of entry into the flap till its proximal most part. In order to prevent twisting of the vessels and to maintain orientation, the glove is wrapped in such a way that the imprint on the glove is on the visualized surface. The glove wrapped pedicle is passed from inside the oral cavity while an artery clamp passed from the neck wound through the submandibular or subcutaneous tunnel holds the tip of the glove component and guides it safely to the neck without exerting any traction on the flap or the pedicle vessels.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699409pedicle transferhead and neck reconstructionspedicle tunneling |
spellingShingle | Prabha S. Yadav Quazi G. Ahmad Vinay K. Shankhdhar G. I. Nambi Pedicle transfer in oral cavity reconstruction Indian Journal of Plastic Surgery pedicle transfer head and neck reconstructions pedicle tunneling |
title | Pedicle transfer in oral cavity reconstruction |
title_full | Pedicle transfer in oral cavity reconstruction |
title_fullStr | Pedicle transfer in oral cavity reconstruction |
title_full_unstemmed | Pedicle transfer in oral cavity reconstruction |
title_short | Pedicle transfer in oral cavity reconstruction |
title_sort | pedicle transfer in oral cavity reconstruction |
topic | pedicle transfer head and neck reconstructions pedicle tunneling |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699409 |
work_keys_str_mv | AT prabhasyadav pedicletransferinoralcavityreconstruction AT quazigahmad pedicletransferinoralcavityreconstruction AT vinaykshankhdhar pedicletransferinoralcavityreconstruction AT ginambi pedicletransferinoralcavityreconstruction |