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Comparison of Various Modalities Utilized for Preoperative Planning in Microsurgical Reconstructive Surgery.
Nassar, Amer H; Maselli, Amy M; Manstein, Samuel; Shiah, Eric; Slatnick, Brianna L; Dowlatshahi, Arriyan S; Cauley, Ryan; Lee, Bernard T.
Afiliação
  • Nassar AH; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Maselli AM; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Manstein S; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Shiah E; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Slatnick BL; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Dowlatshahi AS; Department of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Cauley R; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Lee BT; Department of Orthopedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
J Reconstr Microsurg ; 38(3): 170-180, 2022 Mar.
Article em En | MEDLINE | ID: mdl-34688218
BACKGROUND: The benefits of preoperative perforator imaging for microsurgical reconstruction have been well established in the literature. METHODS: An extensive literature review was performed to determine the most commonly used modalities, and their applicability, advantages and disadvantages. RESULTS: The review demonstrated varioius findings including decreases in operative time and cost with the use of CT angiography to identification of perforators for inclusion in flap design with hand-held Doppler ultrasound. Modalities like MR angiography offer alternatives for patients with contrast allergies or renal dysfunction while maintaining a high level of clarity and fidelity. Although the use of conventional angiography has decreased due to the availability of less invasive alternatives, it continues to serve a role in the preoperative evaluation of patients for lower extremity reconstruction. Duplex ultrasonography has been of great interest recently as an inexpensive, risk free, and extraordinarily accurate diagnostic tool. Emerging technologies such as indocyanine green fluorescence angiography and dynamic infrared thermography provide real-time information about tissue vascularity and perfusion without requiring radiation exposure. CONCLUSION: This article presents an in-depth review of the various imaging modalities available to reconstructive surgeons and includes hand held Doppler ultrasound, CT angiography, MR angiography, conventional angiography, duplex ultrasonography, Indocyanine Green Fluorescence Angiography and Dynamic Infrared Thermography.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos de Cirurgia Plástica / Retalho Perfurante Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: J Reconstr Microsurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos de Cirurgia Plástica / Retalho Perfurante Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: J Reconstr Microsurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2022 Tipo de documento: Article