Reliability of fasciocutaneous flaps on the base of burn scar by using doppler color flow imaging in the preoperative planning

Yıl 1997, Cilt: 10 Sayı: 2, 73 - 78, 01.03.1997

E. Kışlaoğlu F. Yüksel Ç. Başekim E. Karacaoğlu C. Uçar

Öz

Objective: As perforator vessels play an important role in fasciocutaneous flap coverage their anatomical prediction is essential in flap designing. Lack of adequate vascular supply to the burn scar tissues, makes them unusual and vulnerable to distal necrosis in reconstructive procedures. We performed this study in order to achieve a better and safer design of fasciocutaneous flaps for burn scars by using Doppler color flow imaging.

Methods: In this study, six patients with troubles on their burn scar areas were treated with fasciocutaneous flaps, each based on an adjacent, single perforator vessel. Doppler with conventional ultrasound was used for location and calibration of perforator vessels on individual basis.

Results: No signs of compromise in flap circulation was observed and flaps were all organized in accuracy.

Conclusion: It is concluded that more reliable and safer design of fasciocutaneous flaps can be detected by using Doppler color flow imaging

Anahtar Kelimeler

Fasciocutaneous flaps, Doppler color flow imaging

Kaynakça

• Daniel RK, Kerrigan CL Principle and physiology
• of skin flap surgery. In: McCarthy JO, ed. Plastic surgery, Boston: WB Saunders Company,
• 1990,-279-302