Illg, Claudius and Krauss, Sabrina and Rachunek, Katarzyna and Hoffmann, Sebastian and Denzinger, Markus and Kolbenschlag, Jonas and Daigeler, Adrien and Schaefer, Ruth Christine (2022) Does leg dominance influence anterolateral thigh flap perforators? MICROSURGERY, 42 (8). pp. 817-823. ISSN 0738-1085, 1098-2752
Full text not available from this repository. (Request a copy)Abstract
Introduction Thorough knowledge of perforator anatomy can facilitate anterolateral thigh (ALT) free flap harvest. The selection of the right or left thigh as donor area may be supported by preoperative perforator imaging and practical considerations. The study aims to determine if the leg dominance should be taken into account, when choosing the donor thigh for ALT free flap harvest, as muscle mass and perfusion might influence perforator quantity. Methods ALT perforators were localized by color-coded duplex sonography and dynamic infrared thermography on both thighs within a defined 250 x 80 mm area in 24 subjects. Perforator number and thickness of subcutaneous tissue and muscle layer were compared in dominant and nondominant legs. Results We found no statistically significant difference comparing sonographically identified ALT perforator numbers and hot spot numbers in dominant and nondominant legs. Yet, we found high interindividual differences. The comparison of subcutaneous tissue and muscle thickness yielded no significant difference. Conclusions Our study yielded no evidence for preference of the dominant or nondominant leg in ALT free flap harvesting. As we found high interindividual differences in perforator number, we suggest to rely on preoperative perforator imaging when choosing the ALT free flap donor thigh.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 Feb 2024 13:57 |
| Last Modified: | 28 Feb 2024 13:57 |
| URI: | https://pred.uni-regensburg.de/id/eprint/58388 |
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