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Related Experiment Video

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Quantitative Visualization and Detection of Skin Cancer Using Dynamic Thermal Imaging
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Using a Thermal Imaging Camera to Locate Perforators on the Lower Limb.

Sharad P Paul1,2,3

  • 1School of Medicine, University of Queensland, Brisbane, New Zealand.

Archives of Plastic Surgery
|June 3, 2017
PubMed
Summary

Reconstructing lower limbs after skin cancer surgery is challenging. Using thermal imaging to identify perforator compartments can improve fasciocutaneous flap design and reduce failure rates.

Keywords:
Lower extremityPerforator flapPerfusion imagingSkin neoplasms

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Area of Science:

  • Plastic Surgery
  • Surgical Oncology
  • Medical Imaging

Background:

  • Lower limb reconstruction after skin cancer excision is complex due to anatomical challenges.
  • High flap failure rates are associated with raising flaps superficial to the deep fascia, contrary to established vascular anatomy.
  • Fasciocutaneous flaps offer superior cosmetic outcomes compared to skin grafts for lower limb reconstruction.

Purpose of the Study:

  • To investigate the utility of thermal imaging in identifying perforator 'compartments' for lower limb flap design.
  • To propose an improved method for designing fasciocutaneous flaps based on perforator identification.
  • To reduce flap failure rates in lower limb reconstruction.

Main Methods:

  • Utilized a thermal imaging camera to visualize and identify perforator 'compartments' in the lower limb.
  • Correlated thermal imaging findings with anatomical vascular planes.
  • Applied findings to the design of fasciocutaneous flaps.

Main Results:

  • Thermal imaging effectively identified distinct perforator 'compartments'.
  • This method aids in precise flap design, respecting deep vascular planes.
  • Potential for improved flap survival and aesthetic outcomes.

Conclusions:

  • Thermal imaging is a valuable tool for preoperative planning in lower limb reconstruction.
  • Identifying perforator compartments using thermal imaging can optimize fasciocutaneous flap design.
  • This technique may lead to reduced complication rates and enhanced functional and cosmetic results in lower limb reconstruction.