Perforator Artery Changes During Suprafascial Pre-expansion of the Perforator Flaps
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Istanbul University
- Enrollment
- 14
- Primary Endpoint
- Transferred tissue dimensions
Study Overview
Brief Summary
Tissue expansion methods have been recommended as a means of improving the clinical results with perforator flaps but in plastic surgery literature there are few clinical trials supporting this opinion. The purposes of this clinical study are to address the ''preexpanded perforator flap concept'' by demonstrating a case series of relevant reconstructive procedures and to evaluate the perforator vessel changes that happen during the expansion periods of various perforator flap donor sites.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 6 Years to 60 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients with broad scars and contracture bands
- •patients with esophagocutaneous fistula
- •patients with ambiguous genitalia
Exclusion Criteria
- Not provided
Arms & Interventions
preexpanded flap
Fourteen patients were treated with fifteen '' preexpanded perforator flap surgery '' interventions. The last six cases were evaluated in terms of perforator artery diameter before and after expansion process. The preexpanded flap donor sites' perforator artery diameters were also compared with their anatomic equivalents located in the symmetric side of the body.
Intervention: preexpanded perforator flap surgery (Procedure)
control side
In six of the 14 patients, perforator artery diameter of the nonexpanded symmetric anatomical side of the body (equivalent to the expanded site)were measured.
Outcomes
Primary Outcomes
Transferred tissue dimensions
Time Frame: At least five months after the operation
Demonstrating the amount of transferred healthy tissue exhibits the success of the technique.
Secondary Outcomes
- Diameter of the perforator artery in a particular tissue level(Measured the day before the expander implantation surgery and the day before the flap transfer surgery (second session following tissue expansion))
Investigators
Emre Hocaoglu
Dr.
Istanbul University