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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Main Authors: Prabha S. Yadav, Quazi G. Ahmad, Vinay K. Shankhdhar, G. I. Nambi
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2010-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
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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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