Pedicle transfer in oral cavity reconstruction

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Head and Neck Reconstruction

Background:

• Free flap reconstruction is crucial for intraoral lining in head and neck cancer.
• Transferring the vascular pedicle requires careful handling to prevent damage.
• Kinking or twisting of the pedicle can lead to flap failure.

Purpose of the Study:

• To describe a simple, effective method for protecting the vascular pedicle during intraoral free flap reconstruction.
• To prevent pedicle kinking and twisting during transfer to the neck.

Main Methods:

• The vascular pedicle is encased within a split surgical glove from flap entry to its proximal end.
• The glove is oriented using its imprint to maintain vessel alignment.
• An artery clamp guides the glove-wrapped pedicle through a neck tunnel, avoiding flap traction.

Main Results:

• The described technique facilitates safe passage of the vascular pedicle.
• It effectively prevents pedicle kinking and twisting during transfer.
• This method ensures proper orientation and reduces the risk of anastomosis complications.

Conclusions:

• Enclosing the vascular pedicle in a surgical glove is a practical solution for head and neck free flap reconstructions.
• This technique enhances surgical safety and improves outcomes in intraoral lining reconstruction.
• It offers a reliable method to protect delicate vessels during transfer and anastomosis.