J Reconstr Microsurg 2002; 18(3): 155-158
DOI: 10.1055/s-2002-28466
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

''Extracorporeal Loop'' (Blind Loop): An Alternative Microsurgical Technique for Prelaminated Flap Transfer

Murat Topalan, Aylin Bilgin-Karabulut, Ismail Ermis
  • Department of Plastic and Reconstructive Surgery, Istanbul University School of Medicine, Istanbul, Turkey
Further Information

Publication History

Publication Date:
13 May 2002 (online)

ABSTRACT

Free tissue transfer is frequently used for reconstruction in the head and neck region. In patients who suffer tissue loss due to a high-energy trauma, the reconstructive surgeon is often faced with a large gap between the defect and the site of anastomosis outside the zone of injury. Utilization of long vein grafts for reestablishment of blood flow to the transferred tissue vessels is a common procedure. Arteriovenous fistula (AVF) formation on the side table is an alternative solution. In this paper, an ``extracorporeal loop'' (blind loop) technique is presented as an alternative microsurgical method for prelaminated flap transfer to two different traumatic recipient areas in the face (nose and ear).

REFERENCES

  • 1 Germann G, Steinau H U. The clinical reliability of vein grafts in free-flap transfer.  J Reconstr Microsurg . 1996;  12 11-17
  • 2 Acland R D. Refinements in lower extremity free flap surgery.  Clin Plast Surg . 1990;  17 733-744
  • 3 Silveira L F, Patricio J A. Arteriovenous fistula with a saphenous long loop.  Microsurgery . 1993;  14 444-445
  • 4 Ritter E F, Anthony J P, Levin L S. Microsurgical composite tissue transplantation at different recipient sites facilitated by preliminary installation of vein grafts as arteriovenous loops.  J Reconstr Microsurg . 1996;  12 231-240
  • 5 Hallock G G. The interposition arteriovenous loop revisited.  Microsurgery . 1988;  4 155-159
  • 6 Topalan M, Çerkeş N, Ermiş Ï, et al. Microsurgical free tissue transfer for lower extremity salvage by using immediate arteriovenous loop formation in one stage (Abstract).  Microsurgery . 1999;  19 37-38
  • 7 Washio H. An intestinal conduit for free transplantation of other tissues.  Plast Reconstr Surg . 1971;  48 48-51
  • 8 Erol O O. The transformation of a free skin graft into a vascularized pedicle flap.  Plast Reconstr Surg . 1976;  58 470-477
  • 9 Erol O O, Spira M. New capillary bed formation with a surgically constructed arteriovenous fistula.  Plast Reconstr Surg . 1980;  66 109-115
  • 10 Pribaz J J, Fine N A. Prelamination: defining the prefabricated flap-a case report and review.  Microsurgery . 1994;  15 618-623
  • 11 Swartz W M. Microvascular approaches to nasal reconstruction.  Microsurgery . 1988;  9 150-153
  • 12 Itoh Y, Arai K. Nasal reconstruction with a thin, free flap prefabricated with a silicone sheet: case report.  J Reconstr Microsurg . 1992;  8 359-362
  • 13 Zhou G, Teng L, Chang H M. Free prepared composite forearm flap transfer for ear reconstruction: three case reports.  Microsurgery . 1994;  15 660-662
  • 14 Sucur D, Ninkovic S, Markovic S, Babovic S. Reconstruction of an avulsed ear by constructing a composite free flap.  Br J Plast Surg . 1991;  44 153-154
  • 15 Costa H, Cunha C, Guimaraes I. Prefabricated flaps for the head and neck: a preliminary report.  Br J Plast Surg . 1993;  46 223-227
  • 16 Miller M J, Schusterman M A, Reece G P, Kroll S S. Interposition vein grafting in head and neck reconstructive microsurgery.  J Reconstr Microsurg . 1993;  9 245-251
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