Academic Journal
Colour Doppler-Guided Superthin Inferior Gluteal Artery Perforator Flap Elevation for Ischial Pressure Ulcer Reconstruction.
| Τίτλος: | Colour Doppler-Guided Superthin Inferior Gluteal Artery Perforator Flap Elevation for Ischial Pressure Ulcer Reconstruction. |
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| Συγγραφείς: | Aydin MS; Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muǧla Sıtkı Koçman University, Muǧla, Turkey., Özler G; Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muǧla Sıtkı Koçman University, Muǧla, Turkey., Kasap Ş; Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muǧla Sıtkı Koçman University, Muǧla, Turkey., Nişanci M; Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muǧla Sıtkı Koçman University, Muǧla, Turkey. |
| Πηγή: | Sultan Qaboos University medical journal [Sultan Qaboos Univ Med J] 2026 Sep 03; Vol. 26 (1), pp. 490-495. Date of Electronic Publication: 2026 Sep 03 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sultan Qaboos University Country of Publication: Oman NLM ID: 101519915 Publication Model: eCollection Cited Medium: Internet ISSN: 2075-0528 (Electronic) Linking ISSN: 2075051X NLM ISO Abbreviation: Sultan Qaboos Univ Med J Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Muscat : Sultan Qaboos University |
| Ιατρικοί όροι (MeSH): | Pressure Ulcer*/surgery , Ultrasonography, Doppler, Color*/methods , Perforator Flap*/blood supply , Perforator Flap*/surgery , Plastic Surgery Procedures*/methods , Plastic Surgery Procedures*/standards, Buttocks/blood supply ; Buttocks/surgery ; Ischium/surgery ; Humans ; Adult ; Male ; Turkey |
| Περίληψη: | Ischial pressure ulcer reconstruction requires durable coverage while preserving local donor options for possible recurrence. The inferior gluteal artery perforator (IGAP) flap is a muscle-sparing option, but superthin elevation requires precise knowledge of the superficial fascial plane and the subcutaneous course of the selected perforator. This technical note describes colour Doppler ultrasonography-guided superficial fascial plane mapping before superthin IGAP flap elevation in a 27-year-old paraplegic patient with a chronic left ischial pressure ulcer who presented in 2025 to a tertiary care university hospital in Muǧla, Turkey. Preoperative high-frequency colour Doppler ultrasonography identified the dominant perforator, measured the relevant fascial intervals and guided a controlled dissection above the superficial fascia. The technique allowed elevation of a thin, pliable flap while preserving deeper gluteal structures and perforator integrity. Colour Doppler-guided fascial mapping may support safer superthin perforator flap elevation in selected pressure ulcer reconstructions. (© The Author(s) 2026.) |
| Competing Interests: | The authors declare no conflicts of interest. |
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| Contributed Indexing: | Keywords: Doppler Color Ultrasonography; Ischium; Perforator Flap; Pressure Ulcer; Turkey |
| Entry Date(s): | Date Created: 20260909 Date Completed: 20260909 Latest Revision: 20260916 |
| Update Code: | 20260917 |
| PubMed Central ID: | PMC13552529 |
| DOI: | 10.18295/2075-0528.3007 |
| PMID: | 42713485 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2075-0528 |
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| DOI: | 10.18295/2075-0528.3007 |