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The Use of Thermography in Determining Viability of Pedicle Flaps

The Use of Thermography in Determining Viability of Pedicle Flaps Abstract One of the basic skills of the reconstructive surgeon involves the shifting of soft tissues from an area of relative surplus to one where a deficit has been caused by trauma, surgical ablation of tumors, or disease processes. Largely by the use of trial and error methods, certain donor areas have been found which can supply this tissue over the course of one or more stages of delivery. The time honored delay of three weeks has served admirably as a rough yardstick of the requisite time for vascularization of a pedicle flap when moved to a new position, thus allowing detachment to be performed. Certain highly vascular areas, such as the face, have been found to support detachment of pedicle flaps in somewhat less time than this; whereas less vascular areas, such as the lower third of the leg, may well require a more prolonged period of vascular equilibration before References 1. Mladick, R.A.; Georgiade, N.G.; and Thorne, F.L.: A Clinical Evaluation of the Use of Thermography in Determining Degree of Burn Injury , Plast Reconst Surg 38:512-518 ( (Dec) ) 1966.Crossref 2. Hardy, J.D., and Muschenheim, C.: The Emission, Reflection and Transmission of Infra-red Radiation by the Human Skin , J Clin Invest 13:817-831 ( (Sept) ) 1934.Crossref 3. Lawson, R.N.: Implications of Surface Temperatures in the Diagnosis of Breast Cancer , Canad Med Assoc J 75:309-311 (Aug) 1956. 4. Lawson, R.N.: Thermography: A New Tool in the Investigation of Breast Lesions , Canad Services Med J 13:517-524 ( (July) ) 1957. 5. Williams, K.L.: Infra-red Thermometry as a Tool in Medical Research , Ann NY Acad Sci 121:99-112 ( (Oct) ) 1964.Crossref 6. Connell, J.F.; Morgan, E.; Rousselot, L.M.: Thermography in Trauma , Ann NY Acad Sci 121:171-176 ( (Oct) ) 1964.Crossref 7. Hardy, J.D.: The Radiating Power of Human Skin in the Infra-red , Amer J Physiol 127:454-462 ( (Aug) ) 1939. 8. Barnes, R.B.: Thermography of the Human Body , Science 140:870-877 ( (May) ) 1963.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Use of Thermography in Determining Viability of Pedicle Flaps

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340130099019
Publisher site
See Article on Publisher Site

Abstract

Abstract One of the basic skills of the reconstructive surgeon involves the shifting of soft tissues from an area of relative surplus to one where a deficit has been caused by trauma, surgical ablation of tumors, or disease processes. Largely by the use of trial and error methods, certain donor areas have been found which can supply this tissue over the course of one or more stages of delivery. The time honored delay of three weeks has served admirably as a rough yardstick of the requisite time for vascularization of a pedicle flap when moved to a new position, thus allowing detachment to be performed. Certain highly vascular areas, such as the face, have been found to support detachment of pedicle flaps in somewhat less time than this; whereas less vascular areas, such as the lower third of the leg, may well require a more prolonged period of vascular equilibration before References 1. Mladick, R.A.; Georgiade, N.G.; and Thorne, F.L.: A Clinical Evaluation of the Use of Thermography in Determining Degree of Burn Injury , Plast Reconst Surg 38:512-518 ( (Dec) ) 1966.Crossref 2. Hardy, J.D., and Muschenheim, C.: The Emission, Reflection and Transmission of Infra-red Radiation by the Human Skin , J Clin Invest 13:817-831 ( (Sept) ) 1934.Crossref 3. Lawson, R.N.: Implications of Surface Temperatures in the Diagnosis of Breast Cancer , Canad Med Assoc J 75:309-311 (Aug) 1956. 4. Lawson, R.N.: Thermography: A New Tool in the Investigation of Breast Lesions , Canad Services Med J 13:517-524 ( (July) ) 1957. 5. Williams, K.L.: Infra-red Thermometry as a Tool in Medical Research , Ann NY Acad Sci 121:99-112 ( (Oct) ) 1964.Crossref 6. Connell, J.F.; Morgan, E.; Rousselot, L.M.: Thermography in Trauma , Ann NY Acad Sci 121:171-176 ( (Oct) ) 1964.Crossref 7. Hardy, J.D.: The Radiating Power of Human Skin in the Infra-red , Amer J Physiol 127:454-462 ( (Aug) ) 1939. 8. Barnes, R.B.: Thermography of the Human Body , Science 140:870-877 ( (May) ) 1963.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1969

References