Preplanning Vascularized Lymph Node Transfer with Duplex Ultrasonography: An Evaluation of 3 Donor Sites
Identifieur interne : 002660 ( Main/Exploration ); précédent : 002659; suivant : 002661Preplanning Vascularized Lymph Node Transfer with Duplex Ultrasonography: An Evaluation of 3 Donor Sites
Auteurs : Ketan M. Patel ; Sung-Yu Chu ; Jung-Ju Huang ; Chih-Wei Wu ; Chia-Yu Lin ; Ming-Huei ChengSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2014.
Abstract
As experience with vascularized lymph node (VLN) transfer has grown, new VLN sources have become apparent. Descriptive studies have elucidated variable lymph node presence in these donor basins. Yet, no study has evaluated preoperative imaging evaluation between donor sites in patients undergoing VLN transfer. This study was to compare the findings on duplex ultrasonography of the submental, groin, and supraclavicular lymph node basins in patients undergoing VLN transfer.
A review of a prospective database was performed for patients who had undergone preoperative planning for VLN transfer with duplex ultrasonography to provide objective donor-site characteristics. Multiple regression analysis was used to identify factors that correlated with specific flap characteristics. A
Sixty-eight patients (28 upper extremities and 40 lower extremities) were identified as undergoing preoperative duplex ultrasonography for VLN transfer. Little variation was seen when evaluating donor sites for laterality in patients. Groin and submental VLN sites had 3.1 and 3.3 lymph nodes, respectively, compared with 0.9 lymph nodes in the supraclavicular donor site (
Preoperative imaging with duplex ultrasonography before VLN transfer may allow for accurate identification of specific VLN donor-site characteristics. When considering lymph node–specific characteristics, higher quantity of lymph nodes were found on the groin and submental flap axis compared with the transverse cervical artery axis.
Url:
DOI: 10.1097/GOX.0000000000000105
PubMed: 25426376
PubMed Central: 4236354
Affiliations:
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Le document en format XML
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<author><name sortKey="Patel, Ketan M" sort="Patel, Ketan M" uniqKey="Patel K" first="Ketan M." last="Patel">Ketan M. Patel</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Preplanning Vascularized Lymph Node Transfer with Duplex Ultrasonography: An Evaluation of 3 Donor Sites</title>
<author><name sortKey="Patel, Ketan M" sort="Patel, Ketan M" uniqKey="Patel K" first="Ketan M." last="Patel">Ketan M. Patel</name>
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<author><name sortKey="Huang, Jung Ju" sort="Huang, Jung Ju" uniqKey="Huang J" first="Jung-Ju" last="Huang">Jung-Ju Huang</name>
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<author><name sortKey="Wu, Chih Wei" sort="Wu, Chih Wei" uniqKey="Wu C" first="Chih-Wei" last="Wu">Chih-Wei Wu</name>
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<author><name sortKey="Lin, Chia Yu" sort="Lin, Chia Yu" uniqKey="Lin C" first="Chia-Yu" last="Lin">Chia-Yu Lin</name>
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<author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name>
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<series><title level="j">Plastic and Reconstructive Surgery Global Open</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background:</title>
<p>As experience with vascularized lymph node (VLN) transfer has grown, new VLN sources have become apparent. Descriptive studies have elucidated variable lymph node presence in these donor basins. Yet, no study has evaluated preoperative imaging evaluation between donor sites in patients undergoing VLN transfer. This study was to compare the findings on duplex ultrasonography of the submental, groin, and supraclavicular lymph node basins in patients undergoing VLN transfer.</p>
</sec>
<sec><title>Methods:</title>
<p>A review of a prospective database was performed for patients who had undergone preoperative planning for VLN transfer with duplex ultrasonography to provide objective donor-site characteristics. Multiple regression analysis was used to identify factors that correlated with specific flap characteristics. A <italic>P</italic>
value less than 0.05 was considered statistically significant.</p>
</sec>
<sec><title>Results:</title>
<p>Sixty-eight patients (28 upper extremities and 40 lower extremities) were identified as undergoing preoperative duplex ultrasonography for VLN transfer. Little variation was seen when evaluating donor sites for laterality in patients. Groin and submental VLN sites had 3.1 and 3.3 lymph nodes, respectively, compared with 0.9 lymph nodes in the supraclavicular donor site (<italic>p</italic>
< 0.01). Increasing age had an inverse relationship with estimated flap volume, whereas higher body mass index correlated with increasing flap thickness.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Preoperative imaging with duplex ultrasonography before VLN transfer may allow for accurate identification of specific VLN donor-site characteristics. When considering lymph node–specific characteristics, higher quantity of lymph nodes were found on the groin and submental flap axis compared with the transverse cervical artery axis.</p>
</sec>
</div>
</front>
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