Eur J Plast Surg (2015) 38:425–426 DOI 10.1007/s00238-015-1091-4 LETTER TO THE EDITOR Use of Spongostan™ for pedicle stabilisation in head and neck microvascular reconstruction 1 1 1 Sunil Choudhary & Raghav Mantri & Prateek Arora Received: 14 January 2015 /Accepted: 7 April 2015 /Published online: 28 April 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, reconstructions. Small 1- to 2-cm postage stamp style Microvascular pedicle is of utmost importance in head and Spongostan pieces are cut out and used either as single or in neck reconstruction as kinking and unfavourable geometry stacks to support the microvascular pedicle. These are used in of the pedicle can cause thrombosis leading to the disastrous different configurations like ‘side rails’ along the length, stacks as foundation underneath the pedicle to obliterate dead complication of free flap failure. Head and neck areas are particularly prone due to the need to use long pedicle to reach space or ‘push inserts’ to change the acute curvature of the neck donor vessels and also the possibility of neck movements pedicle to attain a geometrically favourable lie of the pedicle causing inadvertent kinking due to pedicle dislodgement. (Figs. 1 and 2). Various techniques and materials have been described in As
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2015
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