Super-thin ALT Flap Elevation using Preoperative Color Doppler Ultrasound Planning: Identification of Horizontally Running Pathway at the Deep Adipofascial Layers
6 monthes ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery
Nowadays, super-thin ALT flap, which is elevated above the superficial fascial plane, is gaining popularity. Although there is a huge demand for thin flaps for various types of extremity reconstruction, the technique for ALT flap thinning remains controversial. In this study, we investigated the distance and vector between penetrating points of perforators in deep and superficial fascia using color duplex and clinical measurement to suggest reliable super-thin flap elevation technique.
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