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Kapoor A, Karmakar M, Roy C, et al. Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index. Indian J Plast Surg. 2017;50(2):173-179doi: 10.4103/ijps.IJPS_23_17.
Kapoor, A., Karmakar, M., Roy, C., & Anand, K. P. (2017). Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index. Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India, 50(2), 173-179. https://doi.org/10.4103/ijps.IJPS_23_17
Kapoor, Akshay, et al. "Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index." Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India vol. 50,2 (2017): 173-179. doi: https://doi.org/10.4103/ijps.IJPS_23_17
Kapoor A, Karmakar M, Roy C, Anand KP. Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index. Indian J Plast Surg. 2017 May-Aug;50(2):173-179. doi: 10.4103/ijps.IJPS_23_17. PMID: 29343893; PMCID: PMC5770931.
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Indian J Plast Surg. 2017 May-Aug;50(2):173-179. doi: 10.4103/ijps.IJPS_23_17.

Assessment of perfusion of free flaps used in head and neck reconstruction using pulsatility index.

Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India

Akshay Kapoor, Malay Karmakar, Collin Roy, Kaushal Priya Anand

Affiliations

  1. Department of Plastic Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
  2. Department of Radiodiagnosis, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.

PMID: 29343893 PMCID: PMC5770931 DOI: 10.4103/ijps.IJPS_23_17

Abstract

OBJECTIVE: To detect venous or arterial obstruction in the pedicle of a free flap we can monitor resistance in the flap bed which is reflected in Pulsatility Index (PI) Therefore if we detect change in the values of the PI in these flaps then we can detect complications in flap due to vascular insufficiency early.

MATERIALS AND METHODS: Seven patients of Free Fibular Flap Reconstruction and ten patients of Free Radial Forearm Flap reconstruction were evaluated over a period of 18 months. In the pre op we recorded PI of Radial and Peroneal artery using colour doppler study. In the Post Operative Period 2 readings of PI at the anastomotic site were taken on Day 1 and Day 7.

RESULTS: Both Free Radial Forearm and Free Fibula flaps which were healthy (

CONCLUSION: PI is an objective index which can indicate changes in perfusion of free flaps used in Head and Neck reconstruction based on which we can predict if a flap is susceptible to circulatory compromise.

Keywords: Free flaps; head and neck reconstruction; pulsatility index

Conflict of interest statement

There are no conflicts of interest.

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