下肢血管解剖变异的彩色多普勒成像分析及其对游离腓骨瓣的意义
Analysis of Variation in Anatomy of Lower Limb Vasculature and Implications for Free Fibula Flap by Color Doppler Imaging.
作者信息
Sunnysinh Digwa, Dandagi Satyajit, Sikkerimath B C, Jose Anu, Bora Sushmit Priyam
机构信息
Dental Officer, ECHS Polyclinic, Kolhapur, India.
Department of Oral and Maxillofacial Surgery, PMNM Dental College and Hospital, Navanagar, Bagalkot, Karnataka India.
出版信息
J Maxillofac Oral Surg. 2022 Jun;21(2):320-325. doi: 10.1007/s12663-020-01483-z. Epub 2020 Nov 19.
BACKGROUND
The free fibula flap (FFF) has proved to be an adequate adjunct tool in the reconstruction of defects following cancer ablation. Although various investigation tools in the past have been proved to be adequate to study the blood supply of the various trunks of arteries, for the survival of graft, the color Doppler flow study (CDF) can be done for the accurate examination of various perforators for the same in the lower limbs prior to its harvest.
MATERIALS AND METHODS
40 patients were included in the study and were examined for free fibula flap tissue transfer via color Doppler study for the lower limb perforators.
RESULTS
In the study, the perforators that are musculocutaneous, septocutaneous and septomusculocutaneous were detected in 80 legs that were examined and all of them had adequate diameter to justify the fact that the graft can be taken for harvesting, except for only two cases where it was found that they were hypoplastic.
CONCLUSION
CDF can be a reliable and informative tool in patients planned for free fibula tissue transfer. Also, the skin perforators can be mapped, so as to determine skin paddle inclusion.
背景
游离腓骨瓣（FFF）已被证明是癌症切除术后缺损重建的一种合适辅助工具。尽管过去的各种检查工具已被证明足以研究各动脉主干的血供，但为了移植物的存活，在切取下肢游离腓骨瓣之前，可通过彩色多普勒血流研究（CDF）准确检查各穿支。
材料与方法
本研究纳入40例患者，通过彩色多普勒研究对下肢穿支进行游离腓骨瓣组织转移检查。
结果
在本研究中，在检查的80条腿中检测到肌皮、隔皮和隔肌皮穿支，除仅2例发现穿支发育不全外，其余所有穿支直径均足以证明可切取移植物。
结论
对于计划进行游离腓骨组织转移的患者，CDF可以是一种可靠且信息丰富的工具。此外，可以绘制皮肤穿支图，以确定皮瓣的纳入情况。
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