Perforator Artery Changes During Suprafascial Pre-expansion of the Perforator Flaps

Istanbul University

Status: Completed

Conditions: Contracture; Flap Disorder; Scar

Treatments: Procedure: preexpanded perforator flap surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT01777386

hocaoglupreexpandedperforator1

Details and patient eligibility

About

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.

Enrollment: 14 patients

Sex: All

Ages: 6 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with broad scars and contracture bands
• patients with esophagocutaneous fistula
• patients with ambiguous genitalia

Exclusion criteria

• none

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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14 participants in 2 patient groups

preexpanded flap

Active Comparator group

Description:

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.

Treatment:

Procedure: preexpanded perforator flap surgery

control side

No Intervention group

Description:

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.