PREPLANNING OF PERFORATOR FLAPS IN RECONSTRUCTIVE SURGERY
Experience with various preplaning options for a skin and soft tissue reconstruction with perforator flaps which were performed in 57 operations is presented in the paper. The results of plasty in three comparison groups were examined. The authors concluded that preoperative study using audiodoppler and CT angiography allows to virtually plan the flap design, its pedicle and the course of intra-operative stages with sufficient accuracy, to reduce operation time and number of complications.
Download file
Counter downloads: 249
Keywords
перфорантный лоскут, пропеллер-лоскут, питающая ножка, препланинг, Допплер, КТангиография, perforator flap, propeller flap pedicle, preplaning, Doppler, CT-angiographyAuthors
Name | Organization | |
Slesarenko S. V. | slesarenko@yahoo.com | |
Badyul P. A. |
References
Адамская Н.А., Цыганков В.Н., Косова И.А. КТ-ангиография в планировании лоскутов передней брюшной стенки // Пластическая хирургия и косметология. — 2010. — № 3. — С. 571—575.
Ляпичева О. В. Островковые кожно-фасциальные лоскуты на перфорантных сосудах как способ пластики дефекта кожи конечностей у онкологических больных : Автореф. дис.. канд. мед. наук. — Ростов н/Д., 2008. — 20 с.
Слесаренко С. В., Бадюл П. А. Применение локальных лоскутов и техники пропеллера при пластическом восстановлении дефектов покровных тканей // Хирургия Украины. — 2012. — № 1 (41). — С. 103—111.
Blondeel P., Van Landuyt K., Monstrey S. et al. The «Gent» consensus on perforator flap terminology: Preliminary definitions // Plast Reconstr Surg. — 2003. — Vol. 112. — P. 1378—1383.
Chiu W., Lin W., Chen S. et al. Computed tomography angiography imaging for the chimeric anterolateral thigh flap in reconstruction of full thickness buccal defect // AN Z J Surg. — 2011. — Vol. 81. — P. 142—147.
Gillis J., Prasad V., Morris S. Three-Dimensional Analysis of the Internal Mammary Artery Perforator Flap // Plast Reconstr Surg. — 2011. — Vol. 128 (5). — P. 419e—426e.
Hallock G. Doppler sonography and color duplex imaging for planning a perforator flap // Clin Plast Surg. — 2003. — Vol. 30. — P. 347—357.
Hallock G. Attributes and shortcomings of acoustic Doppler sonography in identifying perforators for flaps from the lower extremity // J. Reconstr Microsurg. — 2009. — Vol. 25. — P. 377—381.
Kompatscher P., Manestar M., Schuster A. et al. The thoracoacromial vessels as recipient vessels in microsurgery and supermicrosurgery: An anatomical and sonographic study // Plast Reconstr Surg. — 2005. — Vol. 115. — P. 77—83.
Koshima I., Soeda S. Inferior epigastric artery skin flap without rectus abdominis muscle // Br. J. Plast Surg. — 1989. — Vol. 42. — P. 645—648.
Koshima I., Yamamoto T., Narushima M. et al. Perforator flaps and supermicrosurgery // Clin Plast Surg. — 2010. — Vol. 37. — P. 683—689.
Mathes D., Neligan P. Current techniques in preoperative imaging for abdomen-based perforator flap microsurgical breast reconstruction // J. Reconstr Microsurg. — 2010. — Vol. 26. — P. 3—10.
Ono S., Chung K., Hayashi H. et al. Application of multidetector-row computed tomography in propeller flap planning // Plast Reconstr Surg. — 2011. — Vol. 127 (2). — P. 703—711.
Rozen W., Phillips T., Ashton M. et al. Preoperative imaging for DI EA perforator flaps: A comparative study of computed tomographic angiography and Doppler ultrasound // Plast Reconstr Surg. — 2008. — Vol. 121. — P. 9—16.
Smit J., Dimopoulou A., Liss A et al. Preoperative CT angiography reduces surgery time in perforator flap reconstruction // J. Plast Reconstr Aesthet Surg. — 2009. — Vol. 62. — P. 1112—1117.
Saint-Cyr M., Schaverien M., Rohrich R. Perforator flaps: History, controversies, physiology, anatomy, and use in reconstruction // Plast Reconstr Surg. — 2009. — Vol. 123. — P. 132e—145e.
Xin M., Luan J., Mu L. et al. The efficacy of preoperative vascular mapping by MD CTA in selecting flap in abdominal flap breast reconstruction // Breast J. — 2011. — Vol. 17. — P. 138—142.
Zhang Y. Application of multidetector-row computed tomography in propeller flap planning (Discussion) // Plast Reconstr Surg. — 2011. — Vol. 127. — P. 712—715.

PREPLANNING OF PERFORATOR FLAPS IN RECONSTRUCTIVE SURGERY | Issues of reconstructive and plastic surgery. 2013. № 3 (46).
Download full-text version
Counter downloads: 3450