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The Role of Computed Tomography Angiography in Perforator Flap Planning
Linda Chow1, Peter Dziegielewski2, Harvey Chim3
1Department of Otolaryngology-Head & Neck Surgery, University of Florida, Gainesville, FL, USA.
Abstract:
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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