TY - JOUR
T1 - Designing An Anterolateral Thigh Flap Using Ultrasound
AU - Visconti, Giuseppe
AU - Bianchi, A.
AU - Hayashi, A.
AU - Salgarello, Marzia
PY - 2022
Y1 - 2022
N2 - Background Preoperative knowledge of themicrovascular anatomy of a patientmay improve safetyand efficacy and reduce morbidity. Today, with the advancement in technology, ultrasound can provide minute details of the structures within the body, which makes this technology very helpful in preoperative evaluation of the traditional perforator flaps as well as thin, superthin, and pure skin perforator flaps. Methods In this article, we will describe the design of one of the most popular perforator flaps, the anterolateral thigh (ALT) flap, using high-frequency and ultrahigh-frequency ultrasound technology. Results Ultrasound technology allows to study preoperatively the ALT donor-site and its microvascular anatomy by using different US modalities in order to provide a virtual surgical plan to the operating surgeon. Conclusion Ultrasound technology allow to expand preoperative knowledge of flap microvascular anatomy and its course within the subcutaneous tissue up to and within the dermis, allowing to select the best perforator for the given reconstruction and the plane of elevation for thin, superthin and pure skin perforator flap.
AB - Background Preoperative knowledge of themicrovascular anatomy of a patientmay improve safetyand efficacy and reduce morbidity. Today, with the advancement in technology, ultrasound can provide minute details of the structures within the body, which makes this technology very helpful in preoperative evaluation of the traditional perforator flaps as well as thin, superthin, and pure skin perforator flaps. Methods In this article, we will describe the design of one of the most popular perforator flaps, the anterolateral thigh (ALT) flap, using high-frequency and ultrahigh-frequency ultrasound technology. Results Ultrasound technology allows to study preoperatively the ALT donor-site and its microvascular anatomy by using different US modalities in order to provide a virtual surgical plan to the operating surgeon. Conclusion Ultrasound technology allow to expand preoperative knowledge of flap microvascular anatomy and its course within the subcutaneous tissue up to and within the dermis, allowing to select the best perforator for the given reconstruction and the plane of elevation for thin, superthin and pure skin perforator flap.
KW - anterolateral thigh flap
KW - thin flap
KW - lateral circumflex femoral artery
KW - anterolateral thigh flap
KW - thin flap
KW - lateral circumflex femoral artery
UR - http://hdl.handle.net/10807/304444
U2 - 10.1055/s-0041-1740126
DO - 10.1055/s-0041-1740126
M3 - Article
SN - 0743-684X
VL - 38
SP - 206
EP - 216
JO - Journal of Reconstructive Microsurgery
JF - Journal of Reconstructive Microsurgery
ER -