ArticleArchives of plastic surgery2026
Adipofascial Flap Monitoring Using Masimo Regional Oximetry: A Case Report and Literature Review on Near-Infrared Spectroscopy for Flap Monitoring.
Article in Archives of plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
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Abstract
Non-invasive monitoring with near-infrared spectroscopy (NIRS) has not been described in the monitoring of non-cutaneous flaps. We present a 29-year-old female with a traumatic left foot injury, where reconstruction was done with a right free adipofascial anterolateral thigh flap. A Masimo O3™ Regional Oximetry pediatric sensor probe was applied directly over the skin-grafted adipofascial flap for continuous flap monitoring and removed at postoperative day 7 uneventfully. We postulate that NIRS does not necessarily require a skin interface, as measurement depends on tissue thickness and penetration of near-infrared wavelengths. A limitation would be the lack of an optimal threshold for regional tissue oxygenation values, but it is reasonable to adopt a threshold of less than 60% absolute value or more than 20% drop from baseline. NIRS has the potential to monitor non-cutaneous flaps as it can detect deep tissue microvascular changes and provide information on tissue perfusion both accurately and non-invasively.
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