{"title":"An Intraoperative Study of Flap Thickness Between Medial Sural Artery, Anterolateral Thigh, and Radial Forearm Flaps.","authors":"Ansarul Haq, Veena K Singh, Shreosi Sarkar","doi":"10.1097/GOX.0000000000006853","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The medial sural artery perforator (MSAP) flap has gained popularity in recent times because of its various advantages over the anterolateral thigh (ALT) and radial artery forearm (RAF) flaps. However, there is a lack of literature comparing the thickness of these flaps between sonographic and intraoperative measurements. This study aimed to compare the thickness of these flaps and to identify the predictors of flap thickness that will help in reconstructive planning.</p><p><strong>Methods: </strong>A total of 120 patients underwent reconstructive flap surgery using the 3 flaps (ALT, MSAP, and RAF). The thickness of these flaps was measured by ultrasonography and intraoperative flap measurements. Forward stepwise regressions were conducted to determine the factors contributing to flap thickness.</p><p><strong>Results: </strong>The mean age of the patients was 38.4 ± 12.2 years, and the mean body mass index was 23.5 ± 3.3 kg/m<sup>2</sup>. The mean thickness of the MSAP was 8.3 ± 1.4 mm, whereas it was 17.6 ± 2.9 mm for the ALT and 5.4 ± 1.3 mm for the RAF. All 3 flaps showed significant differences in thickness (<i>P</i> < 0.05). The ALT flap had a positive correlation with female gender and body mass index. No significance was found between the measurement of flap thickness by sonography and intraoperative measurement. (<i>P</i> > 0.05).</p><p><strong>Conclusions: </strong>The MSAP flap can be used as a replacement for the RAF or ALT flap in almost all areas if the flap dimensions and pedicle length are fulfilled. Sonographic measurements of flap thickness are a good predictive marker of intraoperative flap thickness.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6853"},"PeriodicalIF":1.5000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165665/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006853","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The medial sural artery perforator (MSAP) flap has gained popularity in recent times because of its various advantages over the anterolateral thigh (ALT) and radial artery forearm (RAF) flaps. However, there is a lack of literature comparing the thickness of these flaps between sonographic and intraoperative measurements. This study aimed to compare the thickness of these flaps and to identify the predictors of flap thickness that will help in reconstructive planning.
Methods: A total of 120 patients underwent reconstructive flap surgery using the 3 flaps (ALT, MSAP, and RAF). The thickness of these flaps was measured by ultrasonography and intraoperative flap measurements. Forward stepwise regressions were conducted to determine the factors contributing to flap thickness.
Results: The mean age of the patients was 38.4 ± 12.2 years, and the mean body mass index was 23.5 ± 3.3 kg/m2. The mean thickness of the MSAP was 8.3 ± 1.4 mm, whereas it was 17.6 ± 2.9 mm for the ALT and 5.4 ± 1.3 mm for the RAF. All 3 flaps showed significant differences in thickness (P < 0.05). The ALT flap had a positive correlation with female gender and body mass index. No significance was found between the measurement of flap thickness by sonography and intraoperative measurement. (P > 0.05).
Conclusions: The MSAP flap can be used as a replacement for the RAF or ALT flap in almost all areas if the flap dimensions and pedicle length are fulfilled. Sonographic measurements of flap thickness are a good predictive marker of intraoperative flap thickness.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
