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Preoperative assessment of anterolateral thigh flap cutaneous perforators by colour Doppler flowmetry H. Iida, I. Ohashi, S. Kishimoto, T. Umeda, Y. Hata British Journal of Plastic Surgery Volume 56, Issue 1, Pages (January 2003) DOI: /S (03)
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Figure 1 Locations of cutaneous perforators identified by preoperative colour Doppler scanning; 48 perforators were found in 17 anterolateral thigh flaps (mean: 2.8 perforators per flap), and 83% were located in the middle third of the thigh. British Journal of Plastic Surgery , 21-25DOI: ( /S (03) )
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Figure 2 Colour signal of septocutaneous perforator located 24cm from the distal end of the thigh. It was running through the lateral intermuscular septum between the rectus femoris muscle and the vastus lateralis muscle. VL, vastus lateralis muscle; VI, vastus intermedius muscle; RF, rectus femoris muscle; F, fatty tissue. British Journal of Plastic Surgery , 21-25DOI: ( /S (03) )
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Figure 3 Colour signal of myocutaneous perforator located 17cm from the distal end of the thigh. The descending branch of the LCFA and the cutaneous perforator were running in the vastus lateralis muscle. VL, vastus lateralis muscle; VI, vastus intermedius muscle; F, fatty tissue. British Journal of Plastic Surgery , 21-25DOI: ( /S (03) )
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Figure 4 Intraoperative view of isolated cutaneous perforators in the left thigh. Three perforators were found at almost exactly the locations marked by preoperative colour Doppler scanning (arrows). VL, vastus lateralis muscle; RF, rectus femoris muscle. British Journal of Plastic Surgery , 21-25DOI: ( /S (03) )
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Figure 5 Anterolateral thigh flap combined with the vastus lateralis muscle. All three cutaneous perforators were included in the flap, as planned preoperatively. British Journal of Plastic Surgery , 21-25DOI: ( /S (03) )
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