PMID- 26027317
OWN - NLM
STAT- MEDLINE
DCOM- 20150806
LR  - 20221207
IS  - 1009-4598 (Print)
IS  - 1009-4598 (Linking)
VI  - 31
IP  - 1
DP  - 2015 Jan
TI  - [Application of microbublle-enhanced ultrasound in preoperative mapping of 
      perforators in supraclavicular artery based flaps].
PG  - 14-8
AB  - OBJECTIVE: To investigate the effectiveness of microbubble-enhanced ultrasound 
      (MEUS) for detecting perforators preoperatively in supraclavicular flap surgery. 
      METHODS: From May 2009 to October 2013, there were 20 patients (26 flaps were 
      involved) who planned to undergo supraclavicular artery based flap surgeries to 
      recover the large-area defects in head and neck. The MEUS together with regular 
      color Doppler ultrasound ( CDUS) were conducted preoperatively to determine the 
      anatomical features of perforators branching from supraclavicular arteries (SCA). 
      The perforator with wider caliber, faster flow speed, longer pedicles and closer 
      pivot point was selected and the flap was designed according to the observed 
      results. RESULTS: There were 37 perforators of SCA detected by CDUS, whose 
      calibers were ranging from 0.5 to 0.8 mm [Mean: (0.6 +/- 0.1) mm]. There were 48 
      perforators of SCA detected by MEUS. Compared to CDUS, the caliber obtained from 
      MEUS for same vessel is significantly increased [(0.7 +/- 0.3) mm vs (0.6 +/- 0.1) 
      mm, P < 0.05]. According to the results of MEUS and three-dimensional 
      reconstructive techniques, in at least 65.4% (17/26) of the flaps, thoracic 
      branch of SCA (TBSA) has large caliber and good flow velocity which can be 
      regarded as the predominant vessel and used as the pedicle of flap. The results 
      of the operations confirmed the existences of all the marked vessels. 25 flaps 
      were obtained according to the preoperative plans and one case used perforators 
      of internal mammary artery as free flaps since the perforator of SCA was found 
      improper. The contrast-related complication occurred in one patient which was 
      manifested by gastrointestinal adverse effect like nausea and anorexia. The 
      patient recovered 1 day later without treatment. All the patients have been 
      followed up for 3 to 16 months (Mean: 8 months) with well-survived flaps. 
      CONCLUSIONS: The perforators of SCA demonstrated significant variations and 
      preoperative mapping was vital for the success of surgery. MEUS is a valuable 
      imaging modality for the preoperative assessment of the vascular supply for 
      supraclavicular artery based flap.
FAU - Yuan, Yuwen
AU  - Yuan Y
FAU - Li, Haizhou
AU  - Li H
FAU - Gu, Bin
AU  - Gu B
FAU - Liu, Kai
AU  - Liu K
FAU - Xie, Feng
AU  - Xie F
FAU - Xie, Yun
AU  - Xie Y
FAU - Li, Qingfeng
AU  - Li Q
FAU - Zan, Tao
AU  - Zan T
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Zheng Xing Wai Ke Za Zhi
JT  - Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese 
      journal of plastic surgery
JID - 100957850
SB  - IM
MH  - Arteries/diagnostic imaging
MH  - Humans
MH  - Mammary Arteries
MH  - *Microbubbles
MH  - Neck/surgery
MH  - *Perforator Flap
MH  - Plastic Surgery Procedures
MH  - Ultrasonography/*methods
EDAT- 2015/06/02 06:00
MHDA- 2015/08/08 06:00
CRDT- 2015/06/02 06:00
PHST- 2015/06/02 06:00 [entrez]
PHST- 2015/06/02 06:00 [pubmed]
PHST- 2015/08/08 06:00 [medline]
PST - ppublish
SO  - Zhonghua Zheng Xing Wai Ke Za Zhi. 2015 Jan;31(1):14-8.