| Reverse flow as an option in microvascular recipient anastomoses. | |
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MedLine Citation:
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PMID: 9393476 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study was designed to investigate the retrograde arterial pressures in the distal ends of the superior thyroid (n = 20) and facial arteries (n = 8). These pressures were compared with mean systemic arterial pressure (n = 20) as well as retrograde pressure in the radial artery (n = 8). The mean retrograde arterial pressure in the radial artery was 50 to 60 percent of normal arterial pressure. Similar pressures were recorded from the distal ends of both the superior thyroid and facial arteries. Because we know that the radial artery can support a skin flap through retrograde or reverse flow (reverse radial forearm flap), it was concluded that both the superior thyroid and facial arteries could also support flaps based on reverse flow. This has proved to be the case clinically. In circumstances where pedicle geometry favors it and in the presence of pulsatile flow from the distal ends of either of these arteries, a retrograde anastomosis is now the practice of the authors in selected cases. |
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Authors:
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P C Neligan; H She-Yue; P J Gullane |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 100 ISSN: 0032-1052 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 1997 Dec |
Date Detail:
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Created Date: 1998-01-02 Completed Date: 1998-01-02 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1780-5; discussion 1786-7 Citation Subset: AIM; IM |
Affiliation:
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Division of Plastic Surgery, University of Toronto, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anastomosis, Surgical Arteries / physiology Blood Pressure Carcinoma, Squamous Cell / surgery* Face / blood supply* Humans Middle Aged Mouth Neoplasms / surgery* Regional Blood Flow Surgical Flaps / blood supply* Thyroid Gland / blood supply* |
| Comments/Corrections | |
Comment In:
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Plast Reconstr Surg. 1998 Dec;102(7):2514-5
[PMID:
9858198
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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