Comparison of flap and contralateral donor site tissue perfusion for flap monitoring in microvascular head and neck reconstruction - a retrospective study.

ABSTRACT:

Introduction

Postoperative flap monitoring in microvascular head and neck reconstruction based solely on flap tissue perfusion measurements relative to predefined thresholds may be influenced by systemic tissue perfusion alterations. This study compared flap and contralateral donor site tissue perfusion and evaluated the utility of the flap-to-donor site ratio in detecting vascular flap compromise.

Materials & methods

Tissue perfusion measured with the O2C analysis system at a tissue depth of 3 mm at 0, 12, 24, 36, and 48 h postoperatively was retrospectively analyzed in 62 patients who underwent head and neck reconstruction with a fasciocutaneous free flap (FFF) (radial free forearm flap) or a perforator free flap (PFF) (anterolateral thigh flap or fibula free flap) between

SUBMITTER: Ooms M 

PROVIDER: S-EPMC12808895 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature