The Role of Computed Tomography Angiography in Perforator Flap Planning.

Oral Maxillofac Surg Clin North Am

Plastic Surgery and Neurosurgery, Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida, PO Box 100138, Gainesville, FL 32610, USA. Electronic address:

Published: November 2024

Preoperative computed tomography angiography (CTA) for perforator free flaps is accurate, precise, and reliable in mapping perforator anatomy that can be used in the intraoperative domain. CTA holds important clinical value as a tool in surgical decision making and surgical innovation, enabling reconstructive surgeons to tailor complex flap designs for extensive defects. Integration into existing infrastructure for virtual surgical planning is feasible, and future efforts to characterize the association of preoperative CTA with postoperative outcomes and cost-analyses for perforator flaps are warranted.

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http://dx.doi.org/10.1016/j.coms.2024.07.002DOI Listing

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