The vascular anatomy of the anterolateral thigh flap (ALTF) has many possible variations, and none of the currently used mapping techniques (eg, Echo Color Doppler) gives a thorough knowledge of all details. Among the last generation of angiographic diagnostic techniques, multi detector computed tomography, popularly known as Angio CT, has emerged as an outstanding noninvasive operator independent option, and has been described for deep inferior epigastric perforator and pedicled transverse rectus abdominis muscle planning. This study was conducted to evaluate its usefulness prior to ALTF harvesting.Nine consecutive patients were considered for oral or lower extremity reconstruction with the ALTF. After written informed consent was obtained from all patients, a preoperative Angio-CT study was performed for surgical planning. Accurate identification of septocutaneous or musculocutaneous perforator vessels was achieved and their location, course, and anatomic variations were reported and influenced surgery.Angio CT allows a complete vascular study of the donor area of the ALTF and evaluation of the best perforator vessels before surgery allows surgeons to get an ideal planning of the flap. This imaging method is currently proposed to every patient undergoing ALT flap reconstruction. Copyright © 2009 by Lippincott Williams & Wilkins.

Angio computed tomography preoperative evaluation for anterolateral thigh flap harvesting / Ribuffo, D.; Atzeni, M.; Saba, L.; Milia, A.; Guerra, M.; Mallarini, G.. - In: ANNALS OF PLASTIC SURGERY. - ISSN 0148-7043. - 62:4(2009), pp. 368-371. [10.1097/SAP.0b013e31817fe4c5]

Angio computed tomography preoperative evaluation for anterolateral thigh flap harvesting

Ribuffo D.;Atzeni M.;
2009

Abstract

The vascular anatomy of the anterolateral thigh flap (ALTF) has many possible variations, and none of the currently used mapping techniques (eg, Echo Color Doppler) gives a thorough knowledge of all details. Among the last generation of angiographic diagnostic techniques, multi detector computed tomography, popularly known as Angio CT, has emerged as an outstanding noninvasive operator independent option, and has been described for deep inferior epigastric perforator and pedicled transverse rectus abdominis muscle planning. This study was conducted to evaluate its usefulness prior to ALTF harvesting.Nine consecutive patients were considered for oral or lower extremity reconstruction with the ALTF. After written informed consent was obtained from all patients, a preoperative Angio-CT study was performed for surgical planning. Accurate identification of septocutaneous or musculocutaneous perforator vessels was achieved and their location, course, and anatomic variations were reported and influenced surgery.Angio CT allows a complete vascular study of the donor area of the ALTF and evaluation of the best perforator vessels before surgery allows surgeons to get an ideal planning of the flap. This imaging method is currently proposed to every patient undergoing ALT flap reconstruction. Copyright © 2009 by Lippincott Williams & Wilkins.
2009
Angio CT; Anterolateral thigh flap; Female; Humans; Lower Extremity; Male; Mouth Neoplasms; Preoperative Care; Reconstructive Surgical Procedures; Surgical Flaps; Thigh; Tissue and Organ Harvesting; Angiography; Tomography, X-Ray Computed
01 Pubblicazione su rivista::01a Articolo in rivista
Angio computed tomography preoperative evaluation for anterolateral thigh flap harvesting / Ribuffo, D.; Atzeni, M.; Saba, L.; Milia, A.; Guerra, M.; Mallarini, G.. - In: ANNALS OF PLASTIC SURGERY. - ISSN 0148-7043. - 62:4(2009), pp. 368-371. [10.1097/SAP.0b013e31817fe4c5]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1493990
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