Preoperative Identification of a Perforator Using Computed Tomography Angiography and Metal Clip Marking in Perforator Flap Reconstruction

Archives of Plastic Surgery

Jin Hyung Park¹  Jung Woo Lee¹  Sin Rak Kim¹  Yea Sik Han¹  Han Kyeol Kim¹ 

[1] Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine, Busan, Korea;

关键词: ultrasonography, doppler;    multidetector computed tomography;    perforator flap;   

DOI  :  10.5999/aps.2015.42.1.78

来源: DOAJ

【 摘 要 】

In perforator flap reconstruction, vascular mapping using preoperative computed tomography (CT) angiography is widely used to confirm the existence and location of an appropriate perforator. This study proposes a rapid, accurate, and convenient method for marking the perforator location on the skin surface. For 12 patients who underwent perforator flap reconstruction between November 2011 and November 2013, metal clips were fixed on the skin surface at the anticipated perforator locations, which were decided using a handheld Doppler. CT angiography was used to compare the location between the metal clip and the actual perforator. The metal clip was moved and repositioned, if needed, on the basis of the CT images. The locations of the appropriate perforator and the metal clip, which were observed during the surgery, were then compared. In CT angiography, the mean distance between the metal clip and the perforator was 3±3.9 mm, and the mean distance that was measured during surgery was 0.8±0.8 mm. In conclusion, we report a simple, rapid, and precise technique to indicate the accurate location of the appropriate perforator on the skin surface.

【 授权许可】

Unknown