Smartphone Dynamic Infrared Thermography for Harvesting AICAP Flap in a Large Breast-conservative Surgery.

Autor:	Vaccari S; Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, BIOMETRA, Humanitas Clinical and Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy., Lorenzano V; Department of Plastic and Reconstructive Surgery, European Institute of Oncology, IRCCS, Milan, Italy., Lisa A; Department of Plastic and Reconstructive Surgery, European Institute of Oncology, IRCCS, Milan, Italy., Di Giuli R; Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, BIOMETRA, Humanitas Clinical and Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy., Klinger M; Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, BIOMETRA, Humanitas Clinical and Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy., Klinger F; Department of Health Sciences, Ospedale San Paolo, University of Milan, Milan, Italy., Vinci V; Department of Biomedical Sciences, Humanitas University, Milan, Italy.; Humanitas Clinical and Research Center-IRCCS, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2023 Apr 27; Vol. 11 (4), pp. e4951. Date of Electronic Publication: 2023 Apr 27 (Print Publication: 2023).
DOI:	10.1097/GOX.0000000000004951
Abstrakt:	Flaps based on perforators of the intercostal arteries have been described for the reconstruction of defects resulting from partial mastectomies. Dynamic infrared thermography (DIRT) identifies hot spots that accurately correspond to and evaluate perforator vessels toward the skin. The new generation of portable thermal cameras has become smaller, less expensive, more sensitive, and compatible with common smartphones. One option is the FLIR ONE system (FLIR Systems, Inc., Wilsonville, OR), a smartphone-compatible thermal camera. Despite its lower resolution, compared with the larger infrared camera models, it represents a viable option for thermal skin mapping, and its compact nature allows for easy portable use. The purpose of this article is to report a case of a preoperative study with smartphone DIRT used in the preparation of an anterior intercostal artery perforator-based flap for breast reconstruction after a wide resection at the level of the right infer-internal breast region, including a skin excision. Our study documents how smartphone DIRT is a rapid, sensitive, easily accessible and cost-effective diagnostic method for the topographical identification of intercostal artery perforators. It can be used as a rescue method at any stage of the intervention if it differs from the preoperative planning. It also confirms the proven usefulness of this flap for the reconstruction of partial defects in the breast and thoracic region. Competing Interests: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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