Gravvanis Andreas, Tsoutsos Dimosthenis, Delikonstantinou Iraklis, Dimitriou Vasilios, Katsikeris Nick, Karakitsos Dimitrios
Plastic Surgery Department, Intensive Care Unit, General State Hospital of Athens G. Gennimatas, Athens, Greece.
J Craniofac Surg. 2012 Jan;23(1):140-4. doi: 10.1097/SCS.0b013e3182413d4d.
We have reviewed the use of portable duplex ultrasonography (PDU) in 12 patients who underwent soft tissue/bone head and neck reconstruction, aiming to determine its role in the design and management of such complex cases. According to our data, there were modifications either of the surgical plan or of patient's management, based on PDU findings, in 9 (75%) of 12 patients. The use of ultrasound directed to subtle modifications in 3 patients (25%) but to significant changes of the surgical plan in the other 3 patients (25%). Also, the use of duplex ultrasound impacted significantly the postoperative management in 4 patients (33.33%). Thus, significant impact of PDU in patient's treatment was recorded in 58.33% of cases. Portable ultrasound represents generally available method for preoperative, intraoperative, and postoperative diagnosis and decision making in free tissue transfer, hence could replace in the future the unidirectional Doppler in the hands of head and neck surgeons.
我们回顾了便携式双功能超声检查（PDU）在12例接受软组织/骨头部和颈部重建患者中的应用，旨在确定其在此类复杂病例的设计和管理中的作用。根据我们的数据，基于PDU检查结果，12例患者中有9例（75%）的手术计划或患者管理发生了改变。超声引导在3例患者（25%）中导致了细微改变，但在另外3例患者（25%）中导致了手术计划的重大改变。此外，双功能超声的使用对4例患者（33.33%）的术后管理产生了显著影响。因此，在58.33%的病例中记录到PDU对患者治疗产生了显著影响。便携式超声是一种普遍可用的方法，可用于游离组织移植的术前、术中和术后诊断及决策，因此未来在头颈外科医生手中可能会取代单向多普勒超声。
