scholarly journals Preoperative Doppler Ultrasonography Allen Test for Radial Forearm Free Flap in Oral Cancer Reconstruction: Implications in Clinical Practice

2021 ◽  
Vol 10 (15) ◽  
pp. 3328
Author(s):  
Manuel Tousidonis ◽  
José Ignacio Salmerón Escobar ◽  
Santiago Ochandiano Caicoya ◽  
Carlos Navarro Vila ◽  
Ignacio Navarro Cuéllar ◽  
...  

The Radial Forearm Free Flap (RFFF) is one of the most widely used microsurgical flaps for intraoral reconstruction. Although the Clinical Allen Test (CAT) is the most widely used preoperative diagnostic method with which to study the distal patency of the hand prior to the use of RFFF, several authors have reported potentially preventable serious vascular complications. This study included 87 consecutive patients with cancer of the oral cavity and RFFF as the flap of choice who were treated between 2010 and 2020, and compares the results of the Clinical Allen Test (CAT), the Doppler Allen Test (DAT) and the Surgical Allen Test (SAT). The preoperative vascular study found vascular abnormalities severe enough for the surgical team to change the preoperative flap of choice in 39% of patients. The Kappa index showed a weak concordance between the CAT and DAT. The study reflected a total concordance in the preoperative results of the Doppler study and the intraoperative results of the SAT. Due to its excellent agreement with SAT, the DAT would be the preoperative test of choice in patients who are candidates for RFFF. This study of vascular mapping tests with Doppler is intended to inform therapeutic decisions and present methods to gain information that cannot be obtained by physical examination alone.

1994 ◽  
Vol 47 (6) ◽  
pp. 419-421 ◽  
Author(s):  
D.M. Evans ◽  
E.B. Chevretton ◽  
R.P. Cole ◽  
J.A. Pereira ◽  
G.A.J. Morrison

2007 ◽  
Vol 52 (2) ◽  
pp. 547-554 ◽  
Author(s):  
Jörg Dabernig ◽  
Odhran P. Shelley ◽  
Guiseppe Cuccia ◽  
Jürgen Schaff

Head & Neck ◽  
2015 ◽  
Vol 38 (3) ◽  
pp. 434-438 ◽  
Author(s):  
Dustin A. Silverman ◽  
Wojciech H. Przylecki ◽  
Jill M. Arganbright ◽  
Yelizaveta Shnayder ◽  
Kiran Kakarala ◽  
...  

2012 ◽  
Vol 23 (6) ◽  
pp. 1763-1765 ◽  
Author(s):  
Vincent L. Biron ◽  
Menachem Gross ◽  
Robert Broad ◽  
Hadi Seikaly ◽  
Erin D. Wright

EMJ Urology ◽  
2020 ◽  
Author(s):  
Philip Brazio ◽  
Irene Ma ◽  
Gordon Lee

Phalloplasty has matured considerably over the last decades in reconstructive options and technical refinements, thanks to increasing recognition of gender dysphoria. The primary goals of performing a phalloplasty are to facilitate sexual penetration, protective sensation, orgasm, standing micturition, and natural aesthetic, ideally in few stages and with minimal morbidity. Radial forearm free flap, anterolateral flap, and metoidioplasty are the most common options, each with a unique profile of complications, aesthetic, and functional outcomes. Choices for reconstruction must be tailored to the individual patient’s goals and available tissue characteristics.


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