Thermography of hands after a radial forearm flap has been harvested

Thermography of hands after a radial forearm flap has been harvested To determine the change of blood flow in the hand after radial forearm flap harvest, several studies using thermography or color Doppler ultrasonography have been reported (Iida et al., Ann Plast Surg 49:156, 2002 ; Suominen and Asko-Seljavaara, Scand J Plast Reconstr Hand Surg 30:307, 1996 ). One study using Doppler ultrasonography (Iida et al., Ann Plast Surg 49:156, 2002 ) found reduced blood flow, while another study using thermography (Suominen and Asko-Seljavaara, Scand J Plast Reconstr Hand Surg 30:307, 1996 ) reported warm digits. However, the thermographic study did not examine the postoperative period. We evaluated temperature changes by thermography during three different postoperative periods: 3, 6, and 12 months. Differences in temperature were measured between the donor hand and the other hand in the resting state and after cold stress at the thenar eminence. The differences in temperature were divided into three grades. The donor hand was classified as being warmer, similar, or cooler than the other hand. There was a tendency for cold stress to accentuate differences in temperature. After cold stress, the percentage for warmer was 75.0% at 3 months, while similar increased to 87.5% at 6 and 12 months. The temperature of the donor hand increased for a limited period after surgery for up to 3 months, and the temperature of the donor hand became similar to that of the nondonor hand. Therefore, circulatory changes in the hand undergoing flap harvest are thought to be minimal. Considering other reports, we think the high temperature at the thenar eminence of the donor hand shortly after surgery is partially explained by sympathetic nerve damage. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Thermography of hands after a radial forearm flap has been harvested

Loading next page...
 
/lp/springer_journal/thermography-of-hands-after-a-radial-forearm-flap-has-been-harvested-MpS0NNqQ03
Publisher
Springer-Verlag
Copyright
Copyright © 2006 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-006-0050-5
Publisher site
See Article on Publisher Site

Abstract

To determine the change of blood flow in the hand after radial forearm flap harvest, several studies using thermography or color Doppler ultrasonography have been reported (Iida et al., Ann Plast Surg 49:156, 2002 ; Suominen and Asko-Seljavaara, Scand J Plast Reconstr Hand Surg 30:307, 1996 ). One study using Doppler ultrasonography (Iida et al., Ann Plast Surg 49:156, 2002 ) found reduced blood flow, while another study using thermography (Suominen and Asko-Seljavaara, Scand J Plast Reconstr Hand Surg 30:307, 1996 ) reported warm digits. However, the thermographic study did not examine the postoperative period. We evaluated temperature changes by thermography during three different postoperative periods: 3, 6, and 12 months. Differences in temperature were measured between the donor hand and the other hand in the resting state and after cold stress at the thenar eminence. The differences in temperature were divided into three grades. The donor hand was classified as being warmer, similar, or cooler than the other hand. There was a tendency for cold stress to accentuate differences in temperature. After cold stress, the percentage for warmer was 75.0% at 3 months, while similar increased to 87.5% at 6 and 12 months. The temperature of the donor hand increased for a limited period after surgery for up to 3 months, and the temperature of the donor hand became similar to that of the nondonor hand. Therefore, circulatory changes in the hand undergoing flap harvest are thought to be minimal. Considering other reports, we think the high temperature at the thenar eminence of the donor hand shortly after surgery is partially explained by sympathetic nerve damage.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2006

References

  • Acute effects of periarterial sympathectomy on the cutaneous microcirculation
    Pollock, DC; Li, Z; Rosencrance, E; Krome, J

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off