Head and neck disfigurement due to scar
Conditions
Interventions
Active Comparator:Clinical Evaluation
Sponsors
Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Being scheduled for reconstruction of face and neck defects with expanded free circumflex scapular flap. (2) Preoperative vascular ultrasounds indicates normal flow rate of the circumflex scapular artery on the operative side (peak systolic flow velocity (PSFV) of >10cm/s in adults; and >6cm/s in children). (3) Signed informed consent; willingness to cooperate with postoperative follow-ups.
Exclusion criteria
Exclusion criteria: (1) Affected flap perfusion of the donor site due to various factors such as previous surgery, trauma and infection. (2) Expanded flap becomes too thin or ulcerated during the expansion procedure, affecting the flap perfusion. (3) Uncontrolled infection. (4) Iodine and/or indocyanine allergy. (5) Cardiovascular or peripheral vascular diseases. (6) Psychiatric illnesses, intellectual disabilities, inability to cooperate. (7) Not suitable for microsurgery due to other comorbidities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence rate of flap necrosis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Area of flap harvested;Area of necrotic flap;Vascular crisis;Infection;Operating time for flap transfer; | — |
Countries
China
Contacts
Public ContactTao Zan
Shanghai Ninth People's Hospital
Outcome results
None listed