Pedicle transfer in oral cavity reconstruction

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 f...

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Main Authors: Yadav Prabha, Ahmad Quazi, Shankhdhar Vinay, Nambi G
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2010-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2010;volume=43;issue=1;spage=79;epage=80;aulast=Yadav
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author Yadav Prabha
Ahmad Quazi
Shankhdhar Vinay
Nambi G
author_facet Yadav Prabha
Ahmad Quazi
Shankhdhar Vinay
Nambi G
author_sort Yadav Prabha
collection DOAJ
description 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.
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issn 0970-0358
1998-376X
language English
publishDate 2010-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-c02adbafe58f481cb3030f1b80c8f1e32025-08-20T03:05:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2010-01-014317980Pedicle transfer in oral cavity reconstructionYadav PrabhaAhmad QuaziShankhdhar VinayNambi GIn 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.http://www.ijps.org/article.asp?issn=0970-0358;year=2010;volume=43;issue=1;spage=79;epage=80;aulast=YadavPedicle transfer; head and neck reconstructions; pedicle tunneling
spellingShingle Yadav Prabha
Ahmad Quazi
Shankhdhar Vinay
Nambi G
Pedicle transfer in oral cavity reconstruction
Indian Journal of Plastic Surgery
Pedicle transfer; head and neck reconstructions; pedicle tunneling
title Pedicle transfer in oral cavity reconstruction
title_full Pedicle transfer in oral cavity reconstruction
title_fullStr Pedicle transfer in oral cavity reconstruction
title_full_unstemmed Pedicle transfer in oral cavity reconstruction
title_short Pedicle transfer in oral cavity reconstruction
title_sort pedicle transfer in oral cavity reconstruction
topic Pedicle transfer; head and neck reconstructions; pedicle tunneling
url http://www.ijps.org/article.asp?issn=0970-0358;year=2010;volume=43;issue=1;spage=79;epage=80;aulast=Yadav
work_keys_str_mv AT yadavprabha pedicletransferinoralcavityreconstruction
AT ahmadquazi pedicletransferinoralcavityreconstruction
AT shankhdharvinay pedicletransferinoralcavityreconstruction
AT nambig pedicletransferinoralcavityreconstruction