Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not?
Background: Anterolateral thigh flap (ALT) is used as a workhorse flap for head and neck reconstruction. The most used method to map the perforators nowadays is hand-held Doppler although several more sophisticated techniques have been described. This paper is to investigate whether harvesting the A...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Oral and Maxillofacial Surgery Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541923000135 |
| _version_ | 1797801018325467136 |
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| author | Georgia-Alexandra Spyropoulou Konstantinos Vahtsevanos Konstantinos Antoniades Eleni Karagergou Sofia Papadopoulou Efterpi Demiri |
| author_facet | Georgia-Alexandra Spyropoulou Konstantinos Vahtsevanos Konstantinos Antoniades Eleni Karagergou Sofia Papadopoulou Efterpi Demiri |
| author_sort | Georgia-Alexandra Spyropoulou |
| collection | DOAJ |
| description | Background: Anterolateral thigh flap (ALT) is used as a workhorse flap for head and neck reconstruction. The most used method to map the perforators nowadays is hand-held Doppler although several more sophisticated techniques have been described. This paper is to investigate whether harvesting the ALT flap without preoperative mapping is safe. Materials and methods: Twenty consecutive patients were randomly assigned to one of two groups: A or B. Patients of A group (n = 10) were marked before the operation with the use of a Doppler probe whilst patients of group B (n = 10) were not marked preoperatively using Doppler to detect the perforators. Complications and time of ALT dissection were documented. Results: There was no statistical difference of complications between the two groups. Mean time of flap harvesting (skin incision up to main pedicle) was approximately 140 min in group A and 165 min in group B (statistically significantly less in group A p = 0.008). Conclusions: This paper is an indication that harvesting the ALT flap without preoperative mapping, even with hand-held Doppler, does not compromise safety of the procedure although operative time is prolonged. |
| first_indexed | 2024-03-13T04:44:03Z |
| format | Article |
| id | doaj.art-0b79f37d98534257ac8b1ee85d6f73aa |
| institution | Directory Open Access Journal |
| issn | 2214-5419 |
| language | English |
| last_indexed | 2024-03-13T04:44:03Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj.art-0b79f37d98534257ac8b1ee85d6f73aa2023-06-19T04:28:14ZengElsevierOral and Maxillofacial Surgery Cases2214-54192023-06-0192100304Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not?Georgia-Alexandra Spyropoulou0Konstantinos Vahtsevanos1Konstantinos Antoniades2Eleni Karagergou3Sofia Papadopoulou4Efterpi Demiri5Clinic of Plastic Surgery, Medical School, Aristotle University of Thessaloniki, General Hospital Papageorgiou, Agiou Pavlou 76, Pavlos Melas 56429, Thessaloniki, Greece; Corresponding author.University Clinic of Oral and Maxillofacial Surgery, General Hospital G. Papanikolaou, Leof. Papanikolaou, Pulaia-Hortiatis, 57010, Thessaloniki, GreeceUniversity Clinic of Oral and Maxillofacial Surgery, General Hospital G. Papanikolaou, Leof. Papanikolaou, Pulaia-Hortiatis, 57010, Thessaloniki, GreeceClinic of Plastic Surgery, General Hospital G. Papanikolaou, Leof. Papanikolaou, Pulaia-Hortiatis, 57010, Thessaloniki, GreeceClinic of Plastic Surgery, General Hospital G. Papanikolaou, Leof. Papanikolaou, Pulaia-Hortiatis, 57010, Thessaloniki, GreeceClinic of Plastic Surgery, Medical School, Aristotle University of Thessaloniki, General Hospital Papageorgiou, Agiou Pavlou 76, Pavlos Melas 56429, Thessaloniki, GreeceBackground: Anterolateral thigh flap (ALT) is used as a workhorse flap for head and neck reconstruction. The most used method to map the perforators nowadays is hand-held Doppler although several more sophisticated techniques have been described. This paper is to investigate whether harvesting the ALT flap without preoperative mapping is safe. Materials and methods: Twenty consecutive patients were randomly assigned to one of two groups: A or B. Patients of A group (n = 10) were marked before the operation with the use of a Doppler probe whilst patients of group B (n = 10) were not marked preoperatively using Doppler to detect the perforators. Complications and time of ALT dissection were documented. Results: There was no statistical difference of complications between the two groups. Mean time of flap harvesting (skin incision up to main pedicle) was approximately 140 min in group A and 165 min in group B (statistically significantly less in group A p = 0.008). Conclusions: This paper is an indication that harvesting the ALT flap without preoperative mapping, even with hand-held Doppler, does not compromise safety of the procedure although operative time is prolonged.http://www.sciencedirect.com/science/article/pii/S2214541923000135Anterolateral thigh flapPerforators mappingHead and neck reconstructionComputed tomography angiographyMagnetic resonance angiographyThermal imaging |
| spellingShingle | Georgia-Alexandra Spyropoulou Konstantinos Vahtsevanos Konstantinos Antoniades Eleni Karagergou Sofia Papadopoulou Efterpi Demiri Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not? Oral and Maxillofacial Surgery Cases Anterolateral thigh flap Perforators mapping Head and neck reconstruction Computed tomography angiography Magnetic resonance angiography Thermal imaging |
| title | Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not? |
| title_full | Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not? |
| title_fullStr | Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not? |
| title_full_unstemmed | Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not? |
| title_short | Anterolateral thigh harvesting for head and neck reconstruction without Doppler: Risky or not? |
| title_sort | anterolateral thigh harvesting for head and neck reconstruction without doppler risky or not |
| topic | Anterolateral thigh flap Perforators mapping Head and neck reconstruction Computed tomography angiography Magnetic resonance angiography Thermal imaging |
| url | http://www.sciencedirect.com/science/article/pii/S2214541923000135 |
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