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Purpose: Currently, using perforator artery flaps especially anterolateral thigh flaps are widely used for reconstruction of extremities, head and neck. Obtaining a precise anatomical picture prior to operation will translate to a more accurate, efficient and safe procedure. Authors used 3D-image work up via 64-slice MDCT to make a more precise preoperative plan. Methods: A total of 10 patients underwent soft tissue reconstruction with anterolateral thigh flap from December 2006 to December 2007. The 64-Channel MDCT (LightSpeed VCT, GE, USA) was used and 3D images were reconstructed. Findings from MDCT were applied to the preoperative planning and confirmed with intraoperative findings. Results: The average number of perforator arteries from lateral circumflex femoral artery was 2. The average lengths of vascular pedicle from the origin of lateral circumflex femoral artery to the first and second perforator artery were 11.0 cm and 20.0 cm, respectively. The average diameter of the pedicle artery was 2.2 mm. The locations of the perforator arteries were mapped and localized on the body surface based on the MDCT result. These were confirmed through direct visualization intraoperatively. Conclusion: MDCT has an advantage of obtaining accurate images of the general anatomy and even fine structures like perforator arteries. By using this state-of-the-art diagnostic imaging technique, it is now possible to make an operative plan safely and easily.

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참고문헌 (14)

  1. Geddes CR, Morris SF, Neligan PC: Perforator flaps: evolution, classification, and applications. Ann Plast Surg 50: 90, 2003 
  2. Song YG, Chen GZ, Song YL: The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 37: 149, 1984 
  3. Yildirim S, Avci G, Akan M, Misirlioğlu A, Akoz T: Anterolateral thigh flap in treatment of postburn flexion contractures of the knee. Plast Reconstr Surg 111: 1630, 2003 
  4. Valdatta L, Tuinder S, Buoro M, Thione A, Faga A, Putz R: Lateral circumflex femoral arterial system and perforators of the anterolateral thigh flap: an anatomic study. Ann Plast Surg 49: 145, 2002 
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  8. Hallock GG: The preexpanded anterolateral thigh free flap. Ann Plast Surg 53: 170, 2004 
  9. Jeon BJ, Lim SY, Hyon WS, Bang SI, Oh KS, Mun GH: Anterolateral thigh flap: our experiences in head and neck reconstruction. J Korean Soc Plast Reconstr Surg 33: 276, 2006 
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  12. Alonso-Burgos A, Garcia-Tutor E, Bastarrika G, Cano D, Martinez-Cuesta A, Pina LJ: Preoperative planning of deep inferior epigastric artery perforator flap reconstruction with multislice-CT angiography: imaging findings and initial experience. J Plast Reconstr Aesthet Surg 59: 585, 2006 
  13. Chang H, Heo C, Jeong J, Baek R, Minn K, Yoon C: Unilateral buttock reconstruction using contralateral inferior gluteal artery perforator flap with the aid of multi-detector CT. J Plast Reconstr Aesthet Surg 14: (Epub ahead of print), 2007 
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이 논문을 인용한 문헌 (1)

  1. Park, Sang-Soon ; Shim, Jeong-Su 2010. "Distally Based Anterolateral thigh Pedicled Flap in the Reconstruction of Defect Around Knee" 大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons, 37(6): 769~774 


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