A Practical Tip for Intraoperative Perforator Vessel Selection: Portable Thermal Imaging

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dc.authorwosidDagdelen, Daghan/JNE-9049-2023
dc.contributor.authorDagdelen, Daghan
dc.contributor.authorAksoy, Alper
dc.contributor.authorBenlier, Erol
dc.date.accessioned2024-06-12T11:02:16Z
dc.date.available2024-06-12T11:02:16Z
dc.date.issued2021
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIn planning of free-style free perforator flaps, relying on defined anatomical landmarks and preoperative imaging technologies is difficult to locate the perforating arteries. Situation gets more complicated when encountered multiple perforating arteries enter the small skin paddle. In these situations, the ideal perforator has to be selected mostly by clinical inspection. We would like to share our method for selecting the ideal perforating vessel in free-style perforator flaps by utilizing portable thermal camera, which may be a reliable intraoperative adjunct. An index digit soft-tissue reconstruction was planned with a free posterior interosseous artery flap. Preoperatively, two perforators were marked on intermuscular septum. After the skin island is elevated totally, both of the arteries were found to be of similar by means of caliber (<0.8 mm) and pulsation. A cold challenge test was applied to flap and a continuous video record with thermal camera was taken for 1 min. Video record shows that the dominant perforator is the distal one. Thus, the flap was raised based on distal perforator. Postoperative follow-up was uneventful. The portable thermal imaging is a low cost and readily accessible intraoperative adjunct for selecting the dominant perforator in free-style perforator free flaps.en_US
dc.identifier.doi10.4103/tjps.tjps_104_20
dc.identifier.endpage185en_US
dc.identifier.issn1300-6878
dc.identifier.issn2528-8644
dc.identifier.issue3en_US
dc.identifier.startpage183en_US
dc.identifier.urihttps://doi.org/10.4103/tjps.tjps_104_20
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21204
dc.identifier.volume29en_US
dc.identifier.wosWOS:000680336400007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofTurkish Journal Of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFree Tissue Flapsen_US
dc.subjectMicrosurgeryen_US
dc.subjectPerforator Flapsen_US
dc.subjectThermographyen_US
dc.subjectReconstructionen_US
dc.titleA Practical Tip for Intraoperative Perforator Vessel Selection: Portable Thermal Imagingen_US
dc.typeArticleen_US

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