City Research Online

Abstract

Free jejunum flaps have been widely used as a reconstruction option after total laryngopharyngectomy. Monitoring of flap perfusion assists in early detection of flap failure, increasing the possibility of flap salvage. Considering the free jejunum flap is a hidden flap there is still no single reliable, non invasive perfusion monitoring technique to assist in recognizing flap failure. We have developed a dual-wavelength photoplethysmographic (PPG) sensor and processing system to investigate the ability of the system in detecting flap perfusion. This is a case report of evaluation of the new prototype reflectance PPG sensor on one patient undergoing total laryngopharyngectomy and reconstruction with a free jejunum flap. PPG signals were successfully obtained intra-operatively which suggest that photoplethysmography may be a suitable method for assessing free jejunum flap perfusion.

Publication Type:	Book Section
Additional Information:	© 2012 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.
Publisher Keywords:	Photoplethysmography, Jejunum, Free Flap, Perfusion
Subjects:	T Technology > TK Electrical engineering. Electronics Nuclear engineering
Departments:	School of Science & Technology > Engineering

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