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[Application of computed tomography angiography in visualize of latissimus dorsi myocutaneous flap transplantation].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009 Jul; 23(7):818-21.ZX

Abstract

OBJECTIVE

To evaluate the feasibility and clinical significance of the computed tomography angiography (CTA) for the latissimus dorsi muscle (LDM) flap transplantation.

METHODS

From September 2007 to August 2008, 3 cases of soft tissue defects in limbs were treated with LDM flap transplantation. Three patients included 2 males and 1 female who were 23- to 42-years-old. All of soft tissue defects were caused by trauma. The locations were the forearm in 2 cases and the leg in 1 case. The area of defect was 17 cm x 8 cm-20 cm x 10 cm. All cases received CTA to observe the distribution and anastomosis of thoracodorsal artery. Subsequently, three-dimensional computer reconstruction were carried out to display the stereoscopic structure of the LDM flap and to design the LDM flap before operation.

RESULTS

The anatomy characteristic of LDM flap can be displayed accurately by the three-dimensional reconstruction model. The distribution of thoracodorsal artery in 3 cases of flaps was in concordance with preoperative design completely. All the flaps were excised successfully, the area of the flap was 19 cm x 10 cm-22 cm x 12 cm. All the transferred flaps survived completely. All cases were followed up from 4 months to 12 months. The color and texture of the flaps were good.

CONCLUSION

The three-dimensional reconstructive images can provide visible, stereoscopic and dynamic anatomy for clinical application of LDM flap. The digitized three-dimensional reconstructive models of LDM flap structures can be applied in clinical training and pre-operative design.

Authors+Show Affiliations

Lu S
Department of Orthopedics, Kunming General Hospital, Chengdu Military Region of PLA, Kunming Yunnan, 650032, P.R. China.
Xu Y
No affiliation info available
Zhang Y
No affiliation info available
Li J
No affiliation info available
Yan R
No affiliation info available
Chen Y
No affiliation info available
Guo H
No affiliation info available
Sun L
No affiliation info available

MeSH

AdultAngiography, Digital SubtractionFemaleHumansImaging, Three-DimensionalMaleMuscle, SkeletalSkin TransplantationSurgical FlapsTomography, X-Ray ComputedYoung Adult

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

19662985

Citation

Lu, Sheng, et al. "[Application of Computed Tomography Angiography in Visualize of Latissimus Dorsi Myocutaneous Flap Transplantation]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 23, no. 7, 2009, pp. 818-21.
Lu S, Xu Y, Zhang Y, et al. [Application of computed tomography angiography in visualize of latissimus dorsi myocutaneous flap transplantation]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009;23(7):818-21.
Lu, S., Xu, Y., Zhang, Y., Li, J., Yan, R., Chen, Y., Guo, H., & Sun, L. (2009). [Application of computed tomography angiography in visualize of latissimus dorsi myocutaneous flap transplantation]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 23(7), 818-21.
Lu S, et al. [Application of Computed Tomography Angiography in Visualize of Latissimus Dorsi Myocutaneous Flap Transplantation]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009;23(7):818-21. PubMed PMID: 19662985.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Application of computed tomography angiography in visualize of latissimus dorsi myocutaneous flap transplantation]. AU - Lu,Sheng, AU - Xu,Yongqing, AU - Zhang,Yuanzhi, AU - Li,Jun, AU - Yan,Rui, AU - Chen,Yubing, AU - Guo,Hai, AU - Sun,Linhui, PY - 2009/8/11/entrez PY - 2009/8/11/pubmed PY - 2010/4/2/medline SP - 818 EP - 21 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 23 IS - 7 N2 - OBJECTIVE: To evaluate the feasibility and clinical significance of the computed tomography angiography (CTA) for the latissimus dorsi muscle (LDM) flap transplantation. METHODS: From September 2007 to August 2008, 3 cases of soft tissue defects in limbs were treated with LDM flap transplantation. Three patients included 2 males and 1 female who were 23- to 42-years-old. All of soft tissue defects were caused by trauma. The locations were the forearm in 2 cases and the leg in 1 case. The area of defect was 17 cm x 8 cm-20 cm x 10 cm. All cases received CTA to observe the distribution and anastomosis of thoracodorsal artery. Subsequently, three-dimensional computer reconstruction were carried out to display the stereoscopic structure of the LDM flap and to design the LDM flap before operation. RESULTS: The anatomy characteristic of LDM flap can be displayed accurately by the three-dimensional reconstruction model. The distribution of thoracodorsal artery in 3 cases of flaps was in concordance with preoperative design completely. All the flaps were excised successfully, the area of the flap was 19 cm x 10 cm-22 cm x 12 cm. All the transferred flaps survived completely. All cases were followed up from 4 months to 12 months. The color and texture of the flaps were good. CONCLUSION: The three-dimensional reconstructive images can provide visible, stereoscopic and dynamic anatomy for clinical application of LDM flap. The digitized three-dimensional reconstructive models of LDM flap structures can be applied in clinical training and pre-operative design. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/19662985/[Application_of_computed_tomography_angiography_in_visualize_of_latissimus_dorsi_myocutaneous_flap_transplantation]_ L2 - http://www.diseaseinfosearch.org/result/7171 DB - PRIME DP - Unbound Medicine ER -