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논문 기본 정보

자료유형
학술저널
저자정보
Kyung Jin Lee (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) 박일우 (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Si Young Roh (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Sung Hoon Koh (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Jin Soo Kim (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) Dong Chul Lee (Department of Plastic and Reconstructive Surgery Gwangmyeong Sungae General Hospital Gwangmyeong Ko) 구진회 (Department of Radiology Gwangmyeong Sungae General Hospital Gwangmyeong Korea)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.26 No.4
발행연도
2021.12
수록면
270 - 275 (6page)
DOI
10.12790/ahm.21.0105

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Purpose: The anterolateral thigh flap is commonly applied to various body sites for reconstruction. However, surgeons often struggle against unexpected locations and the nature of perforator vessels during surgery. Thus, this study aimed to assess the accuracy and usefulness of color Doppler ultrasonography as a preoperative tool for the perforator position and course of anterolateral thigh flaps. Methods: A prospective study involving 77 anterolateral thigh flaps was conducted between March 2016 and February 2021. Among them, 37 perforators (group A) were detected using the preoperative color Doppler ultrasound, and the other 40 perforators (group B) were tested using a hand-held Doppler only. All patients in group A underwent color Doppler ultrasonography performed by a radiologist at our institution. The nature and course of the perforator vessels were recorded, and their precise locations were plotted in an orthonormal coordinate system. Results: A total of 37 anterolateral thigh perforator flaps (group A) were successfully dissected. The median distance between the preoperative color Doppler ultrasonography and the real location during surgery of the perforators was 7.50 mm, which was statistically smaller than 10 mm (p<0.001). This preoperative ultrasound test also had a success rate of 94.6% to determine the nature of the perforators (musculocutaneous type vs. septocutaneous type). Conclusion: Preoperative color Doppler ultrasonography provides a harmless, reliable, and accurate technique for visualizing the vascular anatomy of anterolateral thigh flaps. It has a high correlation with surgical findings, allowing surgeons to cope with variable vascular anatomy.
#Color Doppler ultrasonography #Perforator flaps #Operative time

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참고문헌 (17)

참고문헌 신청
Song YG / 1984 / The free thigh flap : a new free flap concept based on the septocutaneous artery / Br J Plast Surg 37:149~159 google schola Yu P / 2002 / Anterolateral thigh fasciocutaneous island flaps in perineoscrotal reconstruction / Plast Reconstr Surg 109:610~618 google schola Wei FC / 2002 / Anterolateral thigh flap for postmastectomy breast reconstruction / Plast Reconstr Surg 110:82~88 google schola Wei FC / 2002 / Combined anterolateral thigh flap and vascularized fibula osteoseptocutaneous flap in reconstruction of extensive composite mandibular defects / Plast Reconstr Surg 109:45~52 google schola Adani R / 2005 / Hand reconstruction using the thin anterolateral thigh flap / Plast Reconstr Surg 116:467~477 google schola

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