Objective and quantifiable measuring mechanism for assessing flap pliability: Our experience with 92 patients

Jhonatan Elia, Ayal Hassidim, Allan Billig, Katya Chapchay, Chieh Tsai Wu, Shao Yu Hung, David Chon Fok Cheong, Chung Kan Tsao*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

2 Scopus citations

Abstract

Background: Pliability describes a flaps' ability to bend under spatial limitations, yet a quantifiable measurement for this flexibility does not exist. Methods: Between January 2015 and January 2017, we applied a novel measuring mechanism to two free flaps for head and neck reconstruction. We allocated a flap pliability score (FPS) to these flaps and observed correlations to common variables. Results: Forty profunda artery perforator (PAP) and 52 anterolateral thigh (ALT) flaps were allotted a score depending on how pliable they performed on our test. Proximal PAP and distal ALT were more pliable than their respective opposite ends. Other interesting conclusions regarding these flaps were also made. Conclusions: With our technique, pliability of the proximal and distal ends of PAP and ALT flaps was ascertained. Herein, we describe an innovative measuring mechanism via which we can allocate a FPS to any flap and thus obtain information regarding how suitable they are for a given recipient site.

Original languageEnglish
Pages (from-to)3348-3355
Number of pages8
JournalHead and Neck
Volume41
Issue number9
DOIs
StatePublished - 09 2019

Bibliographical note

Publisher Copyright:
© 2019 Wiley Periodicals, Inc.

Keywords

  • flap
  • free flap
  • head and neck
  • pliability
  • reconstruction

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