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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1988;31(1): 72-9. |
An Experimental Study on Timing of Pedicle Skin Flap Divison by Transcutaneous Oxygen Pressure Measurement |
Yang-Gi Min, MD, and Sang Hoo Park, MD |
Department of Otolaryngology, College of Medicine, Seoul National University, Korea |
경피산소분압 측정을 이용한 피판경 절단시기 판정에 관한 실험적 연구 |
민양기 · 박상후 |
서울대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
In order to establish a guide line for the timing of early and safe division of skin flap pedicle by measuring the transcutaneous oxygen
pressure(TcPO2), daily transcutaneous oxygen pressure level and the flap survival were compared in pedicle skin flaps developed on the back of rabbits. Results were as follows ; 1) The transcutaneous oxygen pressure ratio of flap to normal control was lowest in the 1st day group of rabbits, and increased significantly in the 3rd, 4th, 5th day groups of rabbits. The transcutaneous oxygen pressure of flap reached that of normal control in the 5th day group. 2) As for flap survival, total necrosis was observed in the 1st, 2nd, 3rd day group, partial necrosis was observed in the 4th day group. Full survival was observed in the 5th day group. 3)
TcPO2 measurement in the flap may be a useful guide in determining the timing of pedicle devision in skin flaps.
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