West China Journal of Stomatology ›› 2017, Vol. 35 ›› Issue (6): 659-662.doi: 10.7518/hxkq.2017.06.018

• Orginal Article • Previous Articles     Next Articles

Application of preoperative vascular localization techniques for perforator flaps

Lianjun Wu1,2, Huiming Wang2()   

  1. 1. Dept. of Implantation, School & Hospital of Stomatology, Wenzhou Medical University, Wenzhou 325027, China
    2. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Medical School, Zhejiang University, Hangzhou 310006, China
  • Received:2017-02-05 Revised:2017-06-24 Online:2017-12-20 Published:2017-12-01
  • Supported by:
    Supported by: The National Natural Science Foundation of China (30900300).

Abstract:

With the development of microvascular technology, perforator flaps have gradually become a good alternative for reconstruction of tissue defects. However, the major limitations of perforator flaps include uncertainty in predicting ana-tomical location of perforators and high variability in perforator size and course, which require preoperative localization tech-niques. Recently, as one of the preoperative localization techniques, computed tomography angiography was used to determine the number, size, course, and exact emerging point of perforator flaps. Clinicians can reduce surgical complications and shorten operative time by using computed tomography angiography. However, only several studies reported clinical applications of computed tomography angiography. This article reviews characteristics, classification, and preoperative location techniques for perforator flaps and its problems.

Key words: perforator flap, preoperative vascular localization technique, Doppler ultrasound, computed tomography angiography, magnetic resonance angiography

CLC Number: