Doppler Sonography and Colour Doppler Sonography in the Preoperative Assessment of Anterolateral Thigh Flap Perforators

Ensat, F. and Babl, M. and Conz, C. and Fichtl, B. and Herzog, G. and Spies, M. (2011) Doppler Sonography and Colour Doppler Sonography in the Preoperative Assessment of Anterolateral Thigh Flap Perforators. HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE, 43 (2). pp. 71-75. ISSN 0722-1819,

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Abstract

Background: In the past years the anterolateral thigh flap has become a workhorse flap in the reconstruction of the head and neck region and the extremities. Due to its variable vascular anatomy the preoperative assessment of perforators has been performed using several devices. Patients and Methods: In our study we investigated the reliability of Doppler sonography and colour Doppler sonography for this purpose in 14 patients undergoing reconstruction with anterolateral thigh flaps. Colour Doppler sonography identified 31 perforators preoperatively, which were all identified during flap harvest. Doppler sonography found 25 true positive signals, 11 false positive signals and 6 false negative signals. Conclusions: Both procedures provide a simple and rapid method for the localisation of ALT perforators. However, colour Doppler sonography showed a significantly higher reliability in identifying perforators of anterolateral thigh flaps, thus enabling flap design around preoperatively confirmed perforators.

Item Type: Article
Uncontrolled Keywords: COMPUTED TOMOGRAPHIC ANGIOGRAPHY; SOFT-TISSUE FLAP; CUTANEOUS PERFORATORS; EXPERIENCE; ARTERY; RECONSTRUCTION; FLOWMETRY; DEFECTS; ANATOMY; perforator flap plasty; imaging procedures; flap plasty; thigh; free flap plasty
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 22 Jun 2020 12:55
Last Modified: 22 Jun 2020 12:55
URI: https://pred.uni-regensburg.de/id/eprint/20971

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