Rapid autonomisation of a combined fibular- and anterolateral thigh flap transferred by a wrist carrier to an irradiated and vessel depleted neck

Klaus Dietrich Wolff, Thomas Mücke, Jutta Lehmbrock, Denys J. Loeffelbein, Marco R. Kesting, Frank Hölzle

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalJournal of Surgical Oncology
Volume99
Issue number2
DOIs
StatePublished - 1 Feb 2009

Keywords

  • Autonomisation
  • Carrier flap
  • Ischemic conditioning
  • Vessel depleted neck

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