Journal article

Developments in perforator imaging for the anterolateral thigh flap: CT angiography and CT-guided stereotaxy

WM Rozen, MW Ashton, DL Stella, S Ferris, DC White, TJ Phillips, GI Taylor

MICROSURGERY | WILEY | Published : 2008

Abstract

INTRODUCTION: The anterolateral thigh flap is an increasingly popular reconstructive option despite uncertainty in its perforator anatomy. Perforators are not always present, vary in size and intramuscular course, and have variable cutaneous courses and supply. As such, preoperative imaging has become favored. METHODS: The current study describes the preliminary use of two new modalities for preoperative imaging: computed tomography (CT) Angiography and CT-guided stereotaxy. These have been utilized in the preoperative imaging of two patients undergoing ALT flap reconstruction. Each patient underwent each of these techniques combined with Doppler ultrasound, the previous standard modality. T..

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