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Doppler Ultrasound and Computed Tomography Angiography Application in Planning of Lower Extremities Perforator Flaps for the Reconstruction of Acquired Maxillofacial Defects (Case Report)

https://doi.org/10.52560/2713-0118-2021-6-74-81

Abstract

The study describes a clinical case of preoperative planning of an anterolateral femur perforator flap and a peroneal autograft to eliminate a maxillofacial defect. During preparation for the surgery, an anatomical feature of the structure of both extremities circulatory system was found, which did not allow full use of the donor area tissues for subsequent surgical intervention. This feature was identified by Doppler ultrasound, but the final picture became clear only due to the study by computed tomography angiography.

About the Authors

A. A. Trefilov
N. N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation

Trefilov Aleksandr Aleksandrovich, Head of the X-ray room

3, Gospitalnaya pl., 105094, Moscow

Tel.: +7 (499) 263-55-55



E. V. Kryukov
S. М. Kirov Military Medical Academy, Ministry of Defense of Russia
Russian Federation

Kryukov Evgeny Vladimirovich, M. D. Med., Professor, Corresponding Member of the Russian Academy of Sciences, Head

6, ul. Academician Lebedev, 194044, St. Petersburg

Phone number: +7 (812) 292-32-63



V. N. Troyan
N. N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation

Troyan Vladimir Nikolayevich, M. D. Med., Professor, Head of the Center for Radiation Diagnosis

3, Gospitalnaya pl., 105094, Moscow

Tel.: +7 (499) 263-55-55



S. V. Tereshchuk
N. N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation

Tereshchuk Sergej Vasil’evich, Ph. D. Med., Head of Maxillofacial Surgery

3, Gospitalnaya pl., 105094, Moscow

Tel.: +7 (499) 263-55-55



V. A. Suharev
N. N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation

Suharev Vladimir Aleksandrovich, Head of the Department of Reconstructive, Microvascular and Plastic Surgery

3, Gospitalnaya pl., 105094, Moscow

Tel.: +7 (499) 263-55-55



I. A. Aseeva
N. N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation

Aseeva Irina Anatol’evna, Ph. D. Med., Head of Department, doctor of ultrasound diagnostics

3, Gospitalnaya pl., 105094, Moscow

Tel.: +7 (499) 263-55-55



E. V. Gaydukova
N. N. Burdenko Main Military Clinical Hospital, Ministry of Defense of Russia
Russian Federation

Gaydukova Elena Vladimirovna, Head of CT and Angiography Room

3, Gospitalnaya pl., 105094, Moscow

Tel.: +7 (499) 263-55-55



References

1. Trefilov A. A., Kryukov E. V., Trojan V. N., Tereshchuk S. V., Suharev V. A., Aseeva I. A., Gajdukova E. V. Capabilities of Imaging Methods in Preoperative Planning for the Elimination of Acquired Maxillofacial Defects. Radiologija - praktika. 2021. No. 4. P. 67–75 (in Russian).

2. Feng S., Min P., Grassetti L., Lazzeri D., Sadigh P., Nicoli F., Torresetti M., Gao W., di Benedetto G., Zhang W., Zhang Y. X. A prospective head-to-head comparison of color Doppler ultrasound and computed tomographic angiography in the preoperative planning of lower extremity perforator flaps. Plast Reconstr Surg. 2016. V. 137. P. 335–347.

3. Habibi K., Ganry L., Luca-Pozner V., Atlan M., Qassemyar Q. Thin submental artery perforator flap for upper lip reconstruction: A case report. Microsurgery. 2021. V. 41. P. 366–369.

4. Nobis C.-P., Kesting M. R., Wolff K.-D., Frohwitter G., Rau A., Weitz J. Development of a template tool for facilitating fibula osteotomy in reconstruction of mandibular defects by digital analysis of the human mandible. Clinical Oral Investigations. 2020. V. 24. P. 3077–3083.

5. Soliman H. H., Abozeid M. F., Moustafa M. A. Efficacy of perforator CTA of deep inferior epigastric artery perforator flap in preoperative planning of breast reconstruction: comparative study with CDUS. EJRNM. 2020. V. 51. Р. 1–8.


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For citations:


Trefilov A.A., Kryukov E.V., Troyan V.N., Tereshchuk S.V., Suharev V.A., Aseeva I.A., Gaydukova E.V. Doppler Ultrasound and Computed Tomography Angiography Application in Planning of Lower Extremities Perforator Flaps for the Reconstruction of Acquired Maxillofacial Defects (Case Report). Radiology - Practice. 2021;(6):74-81. (In Russ.) https://doi.org/10.52560/2713-0118-2021-6-74-81

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ISSN 2713-0118 (Online)