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C. K. Tsao and H. C. Chen, “Adequate Venous Drainage: The Most Critical Factor for a Successful Free Jejunal Transfer,” Annals of Plastic Surgery, Vol. 53, No. 3, 2004, pp. 229-234. doi:10.1097/01.sap.0000116286.61316.28

has been cited by the following article:

• TITLE: Salvage of Free Jejunum Flap Following Late Venous Compromise

  AUTHORS: G. Virich, R. Almasharqah, A. C. E. Canal, C. M. Malata

  KEYWORDS: Flap; Free; Microvascular; Pharyngo-Oesophagectomy; Jejunum; Complications; Thrombosis; Venous; Salvage

  JOURNAL NAME: Modern Plastic Surgery, Vol.2 No.2, April 26, 2012

  ABSTRACT: Single stage reconstruction of circumferential pharyngo-esophageal defects using the free jejunum flap produces excellent functional results with minimal morbidity and mortality. The most serious complication with this flap is vascular compromise, usually within the first 24 - 48 hours after surgery. Compromised flaps are frequently diagnosed late often making their salvage impossible, so close postoperative monitoring of tissue perfusion is critical. Rapid identification and salvage of the failing flap increases the chance of a successful outcome.