The Course of Anterolateral Thigh Perforators Does Not Correlate between Sides of the Body: The Role for Preoperative Imaging

Rozen, Warren M.; Wagstaff, Marcus J. D.; Grinsell, Damien; Roux, Cara Michelle le; Ashton, Mark W.

doi:10.1097/prs.0b013e3181cb67fb

Cited by 4 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…which is consistent with the observations of other authors (19). This fact additionally supports the need for performing routine vascular examinations.…”

Section: Discussionsupporting

confidence: 82%

Colour Doppler Assessment of the Perforators of Anterolateral Thigh Flap and its Usefulness in Preoperative Planning

Ulatowski¹

2012

Polish Journal of Surgery

View full text Add to dashboard Cite

The role of the anterolateral thigh flap (ALTF) in reconstructive microsurgery grows systematically from mid-eighties of the twenty century until now. Significant anatomic variability of the perforators supplying the ALTF was described in literature. the aim of the study was ultrasonographic assessment of the ALTF perforators in terms of localization, symmetry, diameter and flow velocity. material and methods. The study was performed using ultrasound machine with 12 MHz linear transducer. Both thighs of 30 healthy volunteers (15 men and 15 women) aged from 18 to 60 (mean 37.9) were examined. The line from anterior superior iliac spine (ASIS) to lateral border of the patella was traced, and divided into 10 equal segments. Point where perforator pierces the deep fascia was marked and its diameter was measured and recorded. Maximal flow velocity was measured and recorded. Symmetry of perforator location was confirmed as positive if difference in position of two perforators on both thighs was less than 1.5 cm in diameter. Results. Total number of 119 perforators supplying skin of 60 thighs was found (mean 1.98 perforator per thigh). No perforators were found in 4 thighs (6.6%). Perforators were most abundant in segments from 5 to 7 (74.6%). Perforators with largest diameters and maximal flow velocity reaching 30-47 cm/s were localized in segments 5 and 6. Perforators in segments 4 and 5 were more abundant in men (50.9%) than in women (36.7%). Septal perforators make up to 26.9% of the total. Eighty percent of the septal perforators were localized in segments 5 and 6. Perforator distribution was elicited in the middle of the ASIS -patella line. In the range of ±1.5 cm from the midpoint of the line 33.6% of the perforators were found. conclusions. 1. Most of perforators with large diameter and big flow velocity are located in segments 5 and 6. 2. Perforators are more common in men in segments 4 and 5 than in women. 3. No perforators found in 4 thighs suggests that preoperative perforator mapping should become a preoperative routine, which can spare intraoperative dilemmas. key words: anterolateral thigh flap, color Doppler assessment, preoperative planning * Study performed within the framework of statutory work of

show abstract

“…which is consistent with the observations of other authors (19). This fact additionally supports the need for performing routine vascular examinations.…”

Section: Discussionsupporting

confidence: 82%

Colour Doppler Assessment of the Perforators of Anterolateral Thigh Flap and its Usefulness in Preoperative Planning

Ulatowski¹

2012

Polish Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Preliminary evidence has shown computed tomographic angiography mapping of the lateral circumflex femoral artery to be possible, but the predictive power and practical advantages have not been demonstrated. 6,7 The purpose of this study was to prospectively determine the benefits and limitations of computed tomographic angiography planning for anterolateral thigh flap design.…”

mentioning

confidence: 99%

A Prospective Study of Preoperative Computed Tomographic Angiography for Head and Neck Reconstruction with Anterolateral Thigh Flaps

Garvey

Selber

Madewell

et al. 2011

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

: Computed tomographic angiography identified larger perforators better than smaller ones and proximal perforators better than distal ones. It accurately predicted the location and origin of visible perforators and less accurately predicted the size and course of visible perforators. Most importantly, the information it provided influenced surgeons to modify their reconstructive strategy, resulting in a higher level of recipient-site specificity.

show abstract

Versatility of the Pedicled Anterolateral Thigh Flap

Neligan

Lannon

2010

Clinics in Plastic Surgery

View full text Add to dashboard Cite

The Course of Anterolateral Thigh Perforators Does Not Correlate between Sides of the Body: The Role for Preoperative Imaging

Cited by 4 publications

References 13 publications

Colour Doppler Assessment of the Perforators of Anterolateral Thigh Flap and its Usefulness in Preoperative Planning

Colour Doppler Assessment of the Perforators of Anterolateral Thigh Flap and its Usefulness in Preoperative Planning

A Prospective Study of Preoperative Computed Tomographic Angiography for Head and Neck Reconstruction with Anterolateral Thigh Flaps

Versatility of the Pedicled Anterolateral Thigh Flap

Contact Info

Product

Resources

About