Vol.15, No 3, 2008 pp. 92 - 96
UC 617.5-089.844
CIRCULATION, REINERVATION AND HISTOMORPHOLOGIC CHANGES IN FREE FLAPS
Jefta Kozarski, Mikica Lalković, Svetlana Vesanović, Vladimir Stojiljković
Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
 E-mail: kozarski@eunet.rs
Summary. At the Clinic for Plastic Surgery and Burns of the MMA, we examined 33 patients with transferred 5 cutaneous, 18 miocutaneous and 10 osteocutaneous free flaps of which 10 were on the foot, 13 on the lower leg and 10 on the face. We analyzed blood circulation (patency of arterial microanastomosis and perfusion) of transferred free flaps (1-3), sensitivity recovery, function of the sebaceous and sweat glands, as well as histomorphologic changes in the skin of the transferred free flaps during the period of 6 up to 36 months after the free flap transfer and compared with the same characteristics of the skin and tissue of the surrounding recipient region.
Key words: Free flaps, microvascular anstomosis, circulation, microcirculation, reinervation, sebaceous glands, sweat glands, histological changes
CIRKULACIJA, REINERVACIJA I HISTOMORFOLOŠKE PROMENE U SLOBODNIM REŽNJEVIMA
Kratak sadržaj: Na Klinici za plastičnu hirurgiju i opekotine VMA pregledana su 33 pacijenta kod kojih su učinjeni transferi 5 kožnih, 18 miokutanih i 10 osteokutanih slobodnih režnjeva, od toga za regije stopala 10, potkolenice 13 i lica 10. Učinjene su analize makro- i mikro cirkulacije (prohodnosti arterijske mikroanastomoze i perfuzije tkiva) u transferiranim slobodnim režnjevima (1-3), oporavka senzibiliteta, funkcionalnog oporavka lojnih i znojnih žlezda, kao i histomorfoloških promena u koži transferiranih slobodnih mikrovaskularnih režnjeva tokom perioda od 6 do 36 meseci nakon učinjenog transfera i dobijeni rezultati su poređeni sa karakteristikama kože i tkiva recipijentne okolne regije.
Ključne reči: Slobodni režnjevi, mikrovaskularne anastomoze, cirkulacija, mikrocirkulacija, reinervacija, lojne žlezde, znojne žlezde, histološke promene