Simultaneous flap thinning with ultrasound-assisted liposuction during free flap surgery: Preliminary results

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dc.contributor.authorInce, Bilsev
dc.contributor.authorYarar, Serhat
dc.contributor.authorDadaci, Mehmet
dc.date.accessioned2024-02-23T12:58:14Z
dc.date.available2024-02-23T12:58:14Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractBackground Ultrasound-assisted liposuction (UAL) has been previously used for postoperative flap thinning. Although it had been reported that UAL causes less damage to the vessels, the simultaneous use of UAL with free flap reconstruction has not been reported. The aim of this report was to determine the results and the complication rates of simultaneous use of UAL with free flap reconstruction. Patients and methods Twelve patients who underwent simultaneous flap thinning with UAL during free anterolateral thigh flap surgery between 2014 and 2016 were included in this prospective study. The mean age of the patients was 46.7 (ranging 10-76) years. The mean body mass index of the patients was 26.81 (ranging 25.2-29.8). Flaps were thinned with UAL before harvesting. The mean flap thicknesses were measured using a metal ruler before and after the UAL procedure. Biopsies were performed lateral to the center of the flaps, after completion of the UAL procedure. Vascular and collagen structures were histopathologically examined. The Likert scale, which evaluates the general appearance, shape, color, and texture, was used to assess the aesthetic results of the UAL procedure. Results The average flap size was 13 x 9 cm. The mean pedicle length was 8.3 (ranging 7-10) cm. The mean flap thickness was 23 (ranging 19-27) mm and decreased to a mean of 8.1 (ranging 5-11) mm. Wound dehiscence and partial skin necrosis was observed in 2 patients (2/12, 16.66%). None of the patients had total flap necrosis. Vascular and collagen structures of the biopsied samples were normal. Patients were followed for an average of 13 months post UAL. The mean Likert score was 17.1 (ranging 15-19). Conclusions Flap thinning with UAL can be safely performed during the initial free flap reconstruction operation.en_US
dc.identifier.doi10.1002/micr.30377
dc.identifier.endpage149en_US
dc.identifier.issn0738-1085
dc.identifier.issn1098-2752
dc.identifier.issue2en_US
dc.identifier.pmid30496614en_US
dc.identifier.scopus2-s2.0-85057627814en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage144en_US
dc.identifier.urihttps://doi.org/10.1002/micr.30377
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10609
dc.identifier.volume39en_US
dc.identifier.wosWOS:000458577900006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofMicrosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[Keyword Not Available]en_US
dc.titleSimultaneous flap thinning with ultrasound-assisted liposuction during free flap surgery: Preliminary resultsen_US
dc.typeArticleen_US

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