| Project/Area Number |
04671230
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| Research Category |
Grant-in-Aid for General Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Research Field |
外科・放射線系歯学
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| Research Institution | Ehime University |
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Principal Investigator |
TANIOKA Hiroaki Ehime University, School of Medicine, Professor, 医学部, 教授 (10028748)
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| Co-Investigator(Kenkyū-buntansha) |
TAKARADA Manabu Ehime University, School of Medicine, Instructor, 医学部, 助手 (60226941)
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| Project Period (FY) |
1992 – 1994
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| Project Status |
Completed (Fiscal Year 1994)
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| Budget Amount *help |
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1994: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1993: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1992: ¥1,100,000 (Direct Cost: ¥1,100,000)
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| Keywords | Thermography / Abbe flap / Wound healing / Laser doppler flowmetry / 唇裂二次醜形 / 島〓筋皮弁 / Abbe筋皮弁 / 口唇形成術 / 血流動態 |
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| Research Abstract |
Thermographic evaluation was made on three patients with Abbe flap. They had recieved primary repairs in infancy or childhood. The Abbe flap was inserted into the middle of the upper lip, and the vascular pedicle was separated on the 14th postoperative day in all patients.
Thermographically the flap was cold for 3 postoperative days and became cold again for 2 days after the flap was separated. The temperature of the distal or proximal portion of the flap fell 1.1 to 2.0ﾟC during four or five postoperative days compared with those of the surrounding normal skin. After the flap was separated, the temperatures of the flap again fell 1.0-3.7ﾟC for 2 days at the middle and distal portion.
Since cyanosis and edema were clinically noticed in the flap when there was a fall in temperature, thermography was considered to be useful not only for judgment of flap survival but also for objective and quantitative analyzes of the wound healing process.
The microcirculation of flap was measured at few points of flap and surrounding normal skin by laser doppler flowmetry for blood cell velocity determination.
The microcirculation at the tip of Abbe flap decreased immediately after operation, increased gradually on first postoperative day, and was at the surrounding normal skin level in a week.
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