Contrast CT-scan for preoperative planning of VSLN (vascularized submental lymph-node) transfer.
Identifieur interne : 000724 ( PubMed/Corpus ); précédent : 000723; suivant : 000725Contrast CT-scan for preoperative planning of VSLN (vascularized submental lymph-node) transfer.
Auteurs : Damian Mullan ; Damir KosuticSource :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- blood supply : Lymph Nodes, Surgical Flaps.
- diagnostic imaging : Lymph Nodes.
- methods : Tomography, X-Ray Computed.
- surgery : Lymph Nodes, Lymphedema.
- transplantation : Lymph Nodes, Surgical Flaps.
- Humans.
Abstract
Vascularized submental lymph-node (VSLN) transfer is gaining popularity as a reliable donor-site in microsurgical treatment of lymphedema. However, variations in number, location, and blood supply to submental lymph-nodes as well as associate skin-paddle make a predictable flap harvest a challenging task. We analyzed this region on preoperative imaging, to improve accuracy of VSLN transfers.
DOI: 10.1002/jso.24355
PubMed: 27393031
Links to Exploration step
pubmed:27393031Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Contrast CT-scan for preoperative planning of VSLN (vascularized submental lymph-node) transfer.</title>
<author><name sortKey="Mullan, Damian" sort="Mullan, Damian" uniqKey="Mullan D" first="Damian" last="Mullan">Damian Mullan</name>
<affiliation><nlm:affiliation>Department of Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kosutic, Damir" sort="Kosutic, Damir" uniqKey="Kosutic D" first="Damir" last="Kosutic">Damir Kosutic</name>
<affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Contrast CT-scan for preoperative planning of VSLN (vascularized submental lymph-node) transfer.</title>
<author><name sortKey="Mullan, Damian" sort="Mullan, Damian" uniqKey="Mullan D" first="Damian" last="Mullan">Damian Mullan</name>
<affiliation><nlm:affiliation>Department of Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kosutic, Damir" sort="Kosutic, Damir" uniqKey="Kosutic D" first="Damir" last="Kosutic">Damir Kosutic</name>
<affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of surgical oncology</title>
<idno type="eISSN">1096-9098</idno>
<imprint><date when="2017" type="published">2017</date>
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</series>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term>
<term>Lymph Nodes (blood supply)</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (surgery)</term>
<term>Surgical Flaps (blood supply)</term>
<term>Surgical Flaps (transplantation)</term>
<term>Tomography, X-Ray Computed (methods)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Lymph Nodes</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Vascularized submental lymph-node (VSLN) transfer is gaining popularity as a reliable donor-site in microsurgical treatment of lymphedema. However, variations in number, location, and blood supply to submental lymph-nodes as well as associate skin-paddle make a predictable flap harvest a challenging task. We analyzed this region on preoperative imaging, to improve accuracy of VSLN transfers.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27393031</PMID>
<DateCreated><Year>2016</Year>
<Month>07</Month>
<Day>09</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>02</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1096-9098</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>115</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Journal of surgical oncology</Title>
<ISOAbbreviation>J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Contrast CT-scan for preoperative planning of VSLN (vascularized submental lymph-node) transfer.</ArticleTitle>
<Pagination><MedlinePgn>23-26</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24355</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">Vascularized submental lymph-node (VSLN) transfer is gaining popularity as a reliable donor-site in microsurgical treatment of lymphedema. However, variations in number, location, and blood supply to submental lymph-nodes as well as associate skin-paddle make a predictable flap harvest a challenging task. We analyzed this region on preoperative imaging, to improve accuracy of VSLN transfers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Contrast CT-scan analysis of VSLN-flap areas was performed in 58 patients. Number and location of visibly vascularized lymph nodes as well as submental artery perforators were identified, documented, and compared.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">About 409 lymph-nodes were found in 50 patients. No significant difference was found in the number of nodes between the right and left side. Significantly more lymph-nodes were found in zones 1B than zones 1A. In eight patients nodes were not identified. In the remaining 50 patients position of the visibly vascularized submental lymph-node was predictable.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Significantly less lymph-nodes can be found in zone 1a then zone 1b. Location of visibly vascularized lymph nodes can be identified predictably in relation to bony landmarks. Blood supply to 1a nodes and particularly location of dominant skin perforator is unpredictable due to potential crossover. Contrast CT scan can help identify location and blood supply to submental lymph-nodes in most patients. J. Surg. Oncol. 2017;115:23-26. © 2016 Wiley Periodicals, Inc.</AbstractText>
<CopyrightInformation>© 2016 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mullan</LastName>
<ForeName>Damian</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kosutic</LastName>
<ForeName>Damir</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>07</Month>
<Day>08</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Surg Oncol</MedlineTA>
<NlmUniqueID>0222643</NlmUniqueID>
<ISSNLinking>0022-4790</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">VSLN</Keyword>
<Keyword MajorTopicYN="N">contrast CT-scan</Keyword>
<Keyword MajorTopicYN="N">preoperative planning</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year>
<Month>06</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2016</Year>
<Month>06</Month>
<Day>24</Day>
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<Month>7</Month>
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<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>2</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>2016</Year>
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<PublicationStatus>ppublish</PublicationStatus>
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