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Perfusion Monitoring During Oculoplastic Reconstructive Surgery : A Comprehensive Review

Berggren, Johanna V. LU ; Stridh, Magne LU and Malmsjö, Malin LU (2022) In Ophthalmic Plastic and Reconstructive Surgery 38(6). p.522-534
Abstract

PURPOSE: Knowledge of how blood perfusion is affected during and after reconstructive surgery is of great importance to predict the survival of grafts and flaps. When commonly used reconstructive procedures were developed a century ago, they were based on empirical observations of clinical outcome.

METHODS: This is a comprehensive literature review that summarizes the current state of knowledge regarding microvascular perfusion monitoring during oculoplastic procedures.

RESULTS: Over the years, a number of techniques for perfusion monitoring have been developed as an attempt to be more objective than clinical examination using traditional methods such as observations of skin temperature, turgor, color, smell, and capillary... (More)

PURPOSE: Knowledge of how blood perfusion is affected during and after reconstructive surgery is of great importance to predict the survival of grafts and flaps. When commonly used reconstructive procedures were developed a century ago, they were based on empirical observations of clinical outcome.

METHODS: This is a comprehensive literature review that summarizes the current state of knowledge regarding microvascular perfusion monitoring during oculoplastic procedures.

RESULTS: Over the years, a number of techniques for perfusion monitoring have been developed as an attempt to be more objective than clinical examination using traditional methods such as observations of skin temperature, turgor, color, smell, and capillary refill time. There are limited publications regarding microvascular perfusion monitoring during reconstructive procedures in the periocular area. Modern laser-based techniques have been attractive due to their noninvasive nature.

CONCLUSIONS: Today, modern, noninvasive techniques are available to monitor perfusion during and after surgery. This has increased our knowledge on the perfusion in common oculoplastic surgery procedures. A detailed understanding of how blood perfusion is affected will hopefully allow the improvement of surgical techniques for better clinical outcome.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Plastic Surgery Procedures/methods, Surgical Flaps/blood supply, Perfusion, Ophthalmology
in
Ophthalmic Plastic and Reconstructive Surgery
volume
38
issue
6
pages
13 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:34919068
  • scopus:85141708056
ISSN
0740-9303
DOI
10.1097/IOP.0000000000002114
language
English
LU publication?
yes
id
2ccea012-2bfe-4e67-ad6e-01bb6dc3af39
date added to LUP
2022-11-30 09:58:25
date last changed
2024-04-16 14:23:36
@article{2ccea012-2bfe-4e67-ad6e-01bb6dc3af39,
  abstract     = {{<p>PURPOSE: Knowledge of how blood perfusion is affected during and after reconstructive surgery is of great importance to predict the survival of grafts and flaps. When commonly used reconstructive procedures were developed a century ago, they were based on empirical observations of clinical outcome.</p><p>METHODS: This is a comprehensive literature review that summarizes the current state of knowledge regarding microvascular perfusion monitoring during oculoplastic procedures.</p><p>RESULTS: Over the years, a number of techniques for perfusion monitoring have been developed as an attempt to be more objective than clinical examination using traditional methods such as observations of skin temperature, turgor, color, smell, and capillary refill time. There are limited publications regarding microvascular perfusion monitoring during reconstructive procedures in the periocular area. Modern laser-based techniques have been attractive due to their noninvasive nature.</p><p>CONCLUSIONS: Today, modern, noninvasive techniques are available to monitor perfusion during and after surgery. This has increased our knowledge on the perfusion in common oculoplastic surgery procedures. A detailed understanding of how blood perfusion is affected will hopefully allow the improvement of surgical techniques for better clinical outcome.</p>}},
  author       = {{Berggren, Johanna V. and Stridh, Magne and Malmsjö, Malin}},
  issn         = {{0740-9303}},
  keywords     = {{Humans; Plastic Surgery Procedures/methods; Surgical Flaps/blood supply; Perfusion; Ophthalmology}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{6}},
  pages        = {{522--534}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Ophthalmic Plastic and Reconstructive Surgery}},
  title        = {{Perfusion Monitoring During Oculoplastic Reconstructive Surgery : A Comprehensive Review}},
  url          = {{http://dx.doi.org/10.1097/IOP.0000000000002114}},
  doi          = {{10.1097/IOP.0000000000002114}},
  volume       = {{38}},
  year         = {{2022}},
}