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Indian Journal of Plastic Surgery
Medknow Publications on behalf of Indian Journal of Plastic Surgery
ISSN: 0970-0358 EISSN: 0970-0358
Vol. 43, No. 1, 2010, pp. 79-80
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Bioline Code: pl10018
Full paper language: English
Document type: Special Article
Document available free of charge
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Indian Journal of Plastic Surgery, Vol. 43, No. 1, 2010, pp. 79-80
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Pedicle transfer in oral cavity reconstruction
Yadav, Prabha S.; Ahmad, Quazi G.; Shankhdhar, Vinay K. & Nambi, G. I.
Abstract
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.
Keywords
Pedicle transfer; head and neck reconstructions; pedicle tunneling
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© Copyright 2010 Indian Journal of Plastic Surgery. Alternative site location: http://www.ijps.org/
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