Annals of Plastic Surgery · 1999 · 13 citations · 0 references
DentistryOral SurgerySurgeryMicrovascular ReconstructionReconstructive Oral SurgeryReconstructive SurgeryFlap ReconstructionFlap SalvageFlap SurgeryFree Flap ReconstructionMandibular ReconstructionMaxillofacial ReconstructionFacial Artery Flap SurgeryFree Flap HarvestingOsteocutaneous Flap ReconstructionOsteocutaneous Free FlapsPeroneal ArteryReconstruction After Oral Cavity Resection
The authors encountered a patient with a tumor of the floor of the mouth in whom the no-reflow phenomenon occurred after excision of the lesion and the mandible, followed by reconstruction using a free fibular flap. A catheter was inserted retrogradely from the point where the peroneal artery had been ligated at the time of flap preparation. Continuous intra-arterial infusion of prostaglandin E1 and heparin was performed, and the flap survived. This method salvaged free flaps subject to the no-reflow phenomenon.