Conventional High-Frequency Ultrasound for Preoperative Planning of Superficial Circumflex Iliac Artery Perforator (SCIP) Pure Skin Perforator (PSP) Flaps

IF 1.5 3区医学 Q3 SURGERY

Microsurgery Pub Date : 2025-02-24 DOI:10.1002/micr.70041

Paloma Malagón, Reiko Tsukuura, Nana Yamamoto, Takumi Yamamoto

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引用次数: 0

Abstract

Background

Pure skin perforator (PSP) flaps had shown their reliability and usefulness for the reconstruction of thin soft-tissue defects. However, accurate localization of PSP is required for safe and fast flap elevation. This study aimed to evaluate the usefulness of conventional high-frequency ultrasound (US) for PSP flap elevation.

Methods

Patients who underwent reconstruction using PSP flap based on the superficial branch of the superficial circumflex iliac artery (SCIA) were retrospectively included and divided into two groups according to the use of preoperative US mapping of SCIA PSPs; a portable US device with an 18 MHz probe was used to localize the PSP in a US group, whereas US was not used in a control group. Intraoperative findings and postoperative results were compared between the groups.

Results

Twenty-seven patients were included: 12 in the US group and 15 in the control group. There were no statistically significant differences in patient characteristics and postoperative results between the groups; both groups showed flap survival without major complications in all cases. Flap thickness ranged from 1.0 to 2.5 mm (average, 1.87 mm). Time for flap harvest was significantly shorter in the US group than in the control group (18.9 ± 4.5 vs. 50.5 ± 20.8 min, p < 0.001).

Conclusions

Preoperative mapping of PSP using high-frequency US allowed reducing the surgical time for harvesting PSP flaps.

查看原文本刊更多论文

常规高频超声在旋髂浅动脉穿支（SCIP）纯皮肤穿支（PSP）皮瓣术前规划中的应用

纯皮肤穿支（PSP）皮瓣在薄软组织缺损的重建中已显示出其可靠性和实用性。然而，为了安全、快速地提升皮瓣，需要准确定位PSP。本研究旨在评估常规高频超声（US）对PSP皮瓣提升的有效性。方法回顾性分析以旋髂浅动脉（SCIA）浅支为基础行PSP皮瓣重建的患者，根据术前SCIA PSP的US制图情况分为两组；在美国组使用携带18mhz探针的便携式美国装置定位PSP，而在对照组不使用美国装置。比较两组术中表现和术后结果。结果共纳入27例患者，其中US组12例，对照组15例。两组患者特征及术后结果差异无统计学意义；两组患者皮瓣均存活，无重大并发症。皮瓣厚度1.0 ~ 2.5 mm，平均1.87 mm。US组皮瓣收获时间明显短于对照组（18.9±4.5 vs. 50.5±20.8 min, p < 0.001）。结论术前使用高频超声对PSP进行定位，减少了PSP皮瓣的手术时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Microsurgery 医学-外科

CiteScore

3.80

自引率

19.00%

发文量

128

审稿时长

4-8 weeks

期刊介绍： Microsurgery is an international and interdisciplinary publication of original contributions concerning surgery under microscopic magnification. Microsurgery publishes clinical studies, research papers, invited articles, relevant reviews, and other scholarly works from all related fields including orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, urology, and vascular surgery.