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Updated: Feb 4, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
686
Color Doppler ultrasonography targeted reconstruction using pedicled perforator flaps-a systematic review and
Rami Mossad Ibrahim1,2, Gudjon Leifur Gunnarsson3, Javed Akram1
11Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
European Journal of Plastic Surgery
|October 9, 2018
Summary
Color Doppler ultrasound (CDU) enhances pedicled perforator flap reliability in reconstructive surgery. This review found high success rates with low complication incidence, though venous congestion is higher in lower extremities.
Area of Science:
- Reconstructive Surgery
- Vascular Surgery
- Medical Imaging
Background:
- Flap reliability is crucial in reconstructive surgery.
- Color Doppler ultrasound (CDU) is a valuable tool for flap planning.
- Need for evidence on CDU-targeted pedicled perforator flaps.
Purpose of the Study:
- Systematic review and meta-analysis of CDU-targeted pedicled perforator flaps.
- Evaluate outcomes and complication rates.
- Provide evidence for flap reliability and safety.
Main Methods:
- Systematic review and meta-analysis of studies published until April 2017 (PubMed, Embase).
- Inclusion of RCTs, meta-analyses, prospective, case-control, and cohort studies.
- Evaluation of study quality using Cochrane guidelines.
Main Results:
- 12 studies (252 cases) met inclusion criteria.
- Major complication rate: 8%; minor complication rate: 14%.
- Necrosis (8%) and venous congestion (8%) were most common complications.
Conclusions:
- CDU-targeted pedicled perforator flaps demonstrate high reconstructive success.
- The procedure offers broad applications and a good safety margin.
- Venous congestion risk is significantly higher in lower extremities compared to the truncus.
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