{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:38:23Z","timestamp":1780616303264,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008235","name":"School of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008235","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to describe the operative success of completely buried free flaps and to determine the safety\/reliability of using implantable dopplers for postoperative monitoring in completely buried free flaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective chart review was conducted\u2009from 2014 to 2020. Patients were included who had implantable dopplers placed for monitoring a completely buried free flap without a visible skin paddle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single academic cancer hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patient charts were reviewed to determine flap viability after surgery, need for reoperation, and ability of implanted doppler probes to detected change in free\u2009flap status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 65 patients were included. Locations of\u2009flaps\u2009were as follows: pharynx, 76.9%; skull base, 7.7%; trachea, 6.2%; esophagus, 4.6%; and facial reanimation, 4.6%. Types of free flaps performed included radial forearm (50.8%), anterolateral thigh (44.6%), and\u2009gracilis\u2009(4.6%). One\u2009patient (1.5%) returned to the\u2009operating room\u2009for\u2009vascular compromise,\u2009which\u2009was\u2009accurately detected by the implantable doppler\u2009and salvaged. All\u2009free flaps were viable upon hospital discharge\u2009based on clinical examination and implantable doppler signals. There were no\u2009complications related to implantable doppler\u2009use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implantable dopplers\u2009are\u2009an effective method\u2009for\u2009evaluating postoperative success of completely buried free flaps. In our series utilizing implantable dopplers, buried free flap survival was higher than traditionally thought. The use of implanted dopplers for monitoring buried free flaps allows for an effective, cosmetically appealing, and simplified reconstructive technique.<\/jats:p><\/jats:sec>","DOI":"10.1177\/01945998221082533","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T12:32:49Z","timestamp":1645533169000},"page":"452-456","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Success of Implantable Doppler Probes for Monitoring Buried Free Flaps"],"prefix":"10.1002","volume":"167","author":[{"given":"Mitchell Frye","family":"Dunklebarger","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Department of Surgery University of Utah Hospital Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"McCrary","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck 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