Reliability of Color Doppler Ultrasound Imaging for the Assessment of Anterolateral Thigh Flap Perforators: A Prospective Study of 30 Perforators

Plastic and Reconstructive Surgery
Alexandre DebelmasQuentin Qassemyar

Abstract

Despite numerous advantages, the anterolateral thigh perforator flap suffers from the variable position and nature of its perforators. The aim of the authors' study was to assess the reliability of preoperative color Doppler ultrasound imaging for the exploration of perforator location and course of anterolateral thigh perforator flaps. A prospective cohort study involving patients for whom head and neck reconstruction was planned with thin anterolateral thigh perforator flaps was conducted. Each patient underwent a color Doppler ultrasound exploration of the thighs, in the operating room, immediately before surgery. The sonographer was the surgeon who raised the flaps. Perforators were sought according to surgical needs, and the same location protocol was followed for all of the cases, using an orthonormal coordinate system to report the passages of the perforators through the vastus lateralis aponeurosis. Between January of 2016 and January of 2017, 22 thin anterolateral thigh perforator flaps were successfully harvested. Thirty perforators were located and used. The median distance between the preoperative color Doppler ultrasound planning and the final location of the perforators was 5 mm, statistically smaller than a 10-mm...Continue Reading

References

Aug 15, 2003·Clinics in Plastic Surgery·Geoffrey G Hallock
Mar 7, 2009·Surgical and Radiologic Anatomy : SRA·Warren Matthew RozenMark W Ashton
Dec 22, 2009·Journal of Reconstructive Microsurgery·David W Mathes, Peter C Neligan
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Dec 17, 2014·Plastic and Reconstructive Surgery·Yao-Chou LeeShyh-Jou Shieh

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Citations

Oct 24, 2018·Plastic and Reconstructive Surgery. Global Open·Eric Swanson
Jun 26, 2020·Journal of Reconstructive Microsurgery·Megumi IshikoKiyohito Takamatsu
Feb 29, 2020·Journal of Reconstructive Microsurgery·Andreas KehrerNatascha Platz Batista da Silva
Aug 31, 2020·The British Journal of Oral & Maxillofacial Surgery·Shofiq IslamGary M Walton
Apr 7, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Andreas KehrerJoon-Pio Hong
May 27, 2021·Plastic and Reconstructive Surgery. Global Open·Carola HeneweerMax Zinser

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