Evidence map›Paper›PMID 26385810›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2016

Monitoring of microvascular free flaps following oropharyngeal reconstruction using infrared thermography: first clinical experiences.

Maren Just, Claire Chalopin, Michael Unger, Dirk Halama, Thomas Neumuth, Andreas Dietz, Miloš Fischer

Abstract readClinical Study
PubMed Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Smartphone-based thermal imaging for pedicled skin flaps: a pilot study toward objective perfusion assessment in facial, head, and neck reconstruction.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  3. Review
  4. Free Flap Monitoring Using Infrared Thermography: An Objective Adjunct to Clinical Monitoring.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2024
    Article
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  8. Review
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  14. [Progress of monitoring methods and preventions of disorder of blood supplying of expanded flaps].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018
    Review
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  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Maren JustClinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University of Leipzig, Liebigstr. 10-14, 04103, Leipzig, Germany.
Claire ChalopinInnovation Center Computer Assisted Surgery, ICCAS, University of Leipzig, Leipzig, Germany.
Michael UngerInnovation Center Computer Assisted Surgery, ICCAS, University of Leipzig, Leipzig, Germany.
Dirk HalamaClinic of Maxillo-Facial-Surgery and Department of Head Medicine and Oral Health, University of Leipzig, Leipzig, Germany.
Thomas NeumuthInnovation Center Computer Assisted Surgery, ICCAS, University of Leipzig, Leipzig, Germany.
Andreas DietzClinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University of Leipzig, Liebigstr. 10-14, 04103, Leipzig, Germany.
Miloš FischerClinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University of Leipzig, Liebigstr. 10-14, 04103, Leipzig, Germany. milos.fischer@medizin.uni-leipzig.de.
Leipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study is to investigate static and dynamic infrared (IR) thermography for intra- and postoperative free-flap monitoring following oropharyngeal reconstruction. Sixteen patients with oropharyngeal reconstruction by free radial forearm flap were included in this prospective, clinical study (05/2013-08/2014). Prior ("intraop_pre") and following ("intraop_post") completion of the microvascular anastomoses, IR thermography was performed for intraoperative flap monitoring. Further IR images were acquired one day ("postop_1") and 10 days ("postop_10") after surgery for postoperative flap monitoring. Of the 16, 15 transferred free radial forearm flaps did not show any perfusion failure. A significant decreasing mean temperature difference (∆T: temperature difference between the flap surface and the surrounding tissue in Kelvin) was measured at all investigation points in comparison with the temperature difference at "intraop_pre" (mean values on all patients: ∆T intraop_pre = -2.64 K; ∆T intraop_post = -1.22 K, p < 0.0015; ∆T postop_1 = -0.54 K, p < 0.0001; ∆T postop_10 = -0.58 K, p < 0.0001). Intraoperative dynamic IR thermography showed typical pattern of non-pathological rewarming due to re-established flap perfusion after completion of the microvascular anastomoses. Static and dynamic IR thermography is a promising, objective method for intraoperative and postoperative monitoring of free-flap reconstructions in head and neck surgery and to detect perfusion failure, before macroscopic changes in the tissue surface are obvious. A lack of significant decrease of the temperature difference compared to surrounding tissue following completion of microvascular anastomoses and an atypical rewarming following a thermal challenge are suggestive of flap perfusion failure.

Indexed as

ThermographyAgedCarcinomaFemaleFree Tissue FlapsHumansMaleMiddle AgedMonitoring, IntraoperativeOropharyngeal NeoplasmsPlastic Surgery ProceduresPostoperative ComplicationsProspective StudiesSkin TemperatureDynamic infrared thermographyFree-flap monitoringFree tissue transferMicrosurgeryPerfusion failureThermal imaging

Identifiers

PMID26385810
OpenAlexW1637777382

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.