フクナガ　ユタカ   Yutaka Fukunaga   福永　豊    所属   川崎医科大学  医学部 臨床医学　形成外科学    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Combination of an Exteriorized Monitoring Flap and Hand-held Doppler for Simple and Reliable Monitoring of a Free Jejunal Graft Transfer in Hypopharyngeal Reconstruction Microsurgery.
掲載誌名	正式名：Journal of plastic and reconstructive surgery 略　 称：J Plast Reconstr Surg ISSNコード：2436259X/2436259X
掲載区分	国外
巻・号・頁	2(3),pp.118-121
著者・共著者	Takuya Higashino, Azusa Oshima, Yutaka Fukunaga
発行年月	2023/07
概要	We introduced a new, simple, reliable method for monitoring a free jejunal graft transfer by assessing visual signs and arterial blood flow in an exteriorized flap. In this retrospective study, all patients that underwent free jejunal graft transfers in hypopharyngeal reconstruction microsurgery between January 2013 and March 2020 were included. We monitored exteriorized flaps by assessing either visual signs only (n = 176) or both visual signs and arterial sound, detected using a hand-held Doppler (n = 164). Postoperative arterial insufficiency occurred in five flaps monitored with visual signs only. None of these flaps could be rescued. Postoperative arterial insufficiency occurred in four flaps monitored with both visual signs and a hand-held Doppler. Of these, two flaps were rescued. The new method led to satisfying results. The combination of visual signs and a hand-held Doppler provided a simple, reliable method for monitoring free jejunal graft transfers.
DOI	10.53045/jprs.2022-0001
PMID	40385084