Doppler-Sonografie und Farbdopplersonografie zur präoperativen Perforatordarstellung beim anterolateralen Oberschenkellappen

Ensat, Florian; Babl, Maria; C, Conz; Fichtl, Bernhard; Herzog, Gerhard; Spies, Marcus

doi:10.1055/s-0030-1255071

Cited by 22 publications

(7 citation statements)

References 20 publications

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“…shows opposite result and points that it is not a reliable technique as it shows variable results. [ 16 17 ] Yang et al . used computed tomography angiography (CTA) in anterolateral thigh perforator flap transplantation They reported significant reduction in complication of flap using CTA as comparison to conventional group.…”

Section: Discussionmentioning

confidence: 99%

Medial sural artery perforator flap for head and neck reconstruction

Agrawal

Gupta

Chaudhary

et al. 2018

Ann Maxillofac Surg

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Aim:The aim is to study the assessment of feasibility of medial sural artery perforator (MSAP) free flap for head and neck reconstruction at our center.Materials and Methods:Oral cancer patients with squamous cell carcinoma of the tongue, buccal mucosa, and floor of mouth cancer attending our center were reconstructed using MSAP flap after oncologic resection. Handheld 8 MHz Doppler was used to identify the perforator preoperatively.Results:We reconstructed 10 patients using MSAP flap. The flap was designed according to defect and donor site was primarily closed in all cases. Excellent results were seen in nine patients reconstructed with MSAP flap without any postoperative complication. Flap failure occurred in one patient due to venous thrombosis. The thickness of flap ranged from 4 to 8 mm. The vascular pedicle length ranged from 9 to 13 cm.Conclusion:The MSAP flap is appropriate for medium-sized oral defect reconstruction, with a long pedicle of matching caliber, adequate tissue volume, and minimal donor-site morbidity which makes it comparable to other microvascular free flaps such as radial artery free flap (RAFF) and anterolateral thigh flap.

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Section: Discussionmentioning

confidence: 99%

Medial sural artery perforator flap for head and neck reconstruction

Agrawal

Gupta

Chaudhary

et al. 2018

Ann Maxillofac Surg

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“…Doppler is a reliable and inexpensive examination. It is widely used, but does not precisely determine perforator trajectory or, in particular, definitively distinguish septal and muscular variants or assess muscular trajectory length [ 11 ], [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…Find the midpoint of a line drawn between the anterior superior iliac crest and the superolateral border of the patella. Use a handheld Doppler probe pre- and intra-operatively (as there is a change in perforator position from erect or supine) to identify a cutaneous perforator, located within 3 cm of the midpoint [ 6 ], [ 10 ], [ 11 ]. Additional perforators may be present distally or proximally.…”

Section: Methodsmentioning

confidence: 99%

Free anterolateral thigh flaps for upper extremity soft tissue reconstruction

Spindler

Al-Benna

Ring

et al. 2015

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 4:Doc05; ISSN 2193-8091

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“…Die CT-Angiographie bietet zwar eine detaillierte Darstellung der anatomischen Verhältnisse [17,19], ist jedoch unserer Meinung nach aufgrund der nicht unerheblichen Strahlenbelastung als kritisch zu werten. Die Farbduplexsonographie hingegen ist ein zuverlässiges Verfahren zur Perforatordarstellung beim ALT, deren Vorzüge von verschiedenen Autoren propagiert wurden [3,9,22]. Trotz des gelegentlichen Auftretens falsch-positiver Signale wie im oben beschriebenen Fall vertrauen wir auf diese rasche und kostengünstige Methode.…”

Section: The Anterolateral Thigh Flap Its Versatility In Oncologicalunclassified

Der anterolaterale Oberschenkellappen

Ensat¹,

Schubert²,

Hladik³

et al. 2011

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The anterolateral thigh flap (ATL) has become a standard procedure in reconstructive microsurgery. In this study the results with the ALT for reconstruction in the head and neck area after tumor resection in 33 patients were retrospectively analyzed. Patients included 28 men and 5 women aged 47-70 years who suffered from intraoral and extraoral tumors. Satisfactory soft tissue coverage could be achieved in all patients and no flaps were lost. The ALT is a versatile free flap enabling reliable soft tissue reconstruction of complex defects in the head and neck region. Flap dissection and preparation of the recipient area can usually be performed simultaneously. Additional advantages include the long and strong caliber vascular pedicle, the low donor site morbidity and the different possibilities of tissue composition, making the ALT a workhorse flap in modern reconstructive microsurgery.

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Doppler-Sonografie und Farbdopplersonografie zur präoperativen Perforatordarstellung beim anterolateralen Oberschenkellappen

Cited by 22 publications

References 20 publications

Medial sural artery perforator flap for head and neck reconstruction

Medial sural artery perforator flap for head and neck reconstruction

Free anterolateral thigh flaps for upper extremity soft tissue reconstruction

Der anterolaterale Oberschenkellappen

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