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KMID : 1033720140150030121
Archives of Craniofacial Surgery
2014 Volume.15 No. 3 p.121 ~ p.124
Venous Occlusion Detected by Caregiver with Implantable Doppler in a Buried Free Flap
Hur Su-Won

Kim Tae-Gon
Lee Jun-Ho
Chung Kyu-Jin
Kim Yong-Ha
Abstract
The use of the implantable Doppler device eases the burden of free flap monitoring, and allows caregivers to notify healthcare personnel of a potential vascular event. A 24-year-old female patient underwent anterolateral thigh adipofascial flap surgery to provide a buried flap on the left temporal area for a depressed and infected skull wound. The author was able to salvage the flap from two venous occlusions, which was made possible by early notifications from the caregiver who reported changes in the Doppler signal.
KEYWORD
Free tissue flaps, Caregivers, Pulsed Doppler ultrasonography
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