Impact of Portable Duplex Ultrasonography in Head and Neck Reconstruction
Autor: | Dimosthenis Tsoutsos, Vasilios Dimitriou, Andreas Gravvanis, Dimitrios Karakitsos, Nick Katsikeris, Iraklis Delikonstantinou |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male Duplex ultrasonography medicine.medical_specialty Decision Making Free Tissue Flaps Patient Care Planning Postoperative management Young Adult Monitoring Intraoperative Humans Medicine In patient Ultrasonography Doppler Color Muscle Skeletal Head and neck Aged Retrospective Studies Aged 80 and over Postoperative Care Ultrasonography Doppler Duplex Bone Transplantation business.industry Anastomosis Surgical Graft Survival Ultrasound Soft tissue Skin Transplantation General Medicine Middle Aged Plastic Surgery Procedures Tissue transfer Treatment Outcome Otorhinolaryngology Head and Neck Neoplasms Regional Blood Flow Duplex (building) Female Surgery Radiology business Blood Flow Velocity Follow-Up Studies |
Zdroj: | Journal of Craniofacial Surgery. 23:140-144 |
ISSN: | 1049-2275 |
Popis: | We have reviewed the use of portable duplex ultrasonography (PDU) in 12 patients who underwent soft tissue/bone head and neck reconstruction, aiming to determine its role in the design and management of such complex cases. According to our data, there were modifications either of the surgical plan or of patient's management, based on PDU findings, in 9 (75%) of 12 patients. The use of ultrasound directed to subtle modifications in 3 patients (25%) but to significant changes of the surgical plan in the other 3 patients (25%). Also, the use of duplex ultrasound impacted significantly the postoperative management in 4 patients (33.33%). Thus, significant impact of PDU in patient's treatment was recorded in 58.33% of cases. Portable ultrasound represents generally available method for preoperative, intraoperative, and postoperative diagnosis and decision making in free tissue transfer, hence could replace in the future the unidirectional Doppler in the hands of head and neck surgeons. |
Databáze: | OpenAIRE |
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