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The use of color Doppler ultrasound in the assessment of vessels for facial transplantation

Renshaw, A; Whitwell, KA; Berger, L; Butler, PE; (2007) The use of color Doppler ultrasound in the assessment of vessels for facial transplantation. Annals of Plastic Surgery , 59 (1) 82 - 86.

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Abstract

The facial artery has been proposed as the main vascular pedicle in facial transplantation. An anatomic study of 200 consecutive facial and transverse facial vessels in 100 normal individuals was performed using color Doppler ultrasound. The diameter and course of each facial vessel were measured at 3 fixed landmarks, and the branching pattern was documented up to the level of the nasal ala. The concomitant transverse artery and vein were similarly documented. The main branch of the facial artery was detected at the lower mandibular border in 99.5% (n = 199) of cases. The accompanying facial vein was found in 97.5% (n = 195) of cases, lateral to the artery in all cases. The transverse facial artery was present in 75.5% (n = 151) of cases, with the vein found in 58% (n = 116). When the facial artery was undetectable, there was transverse facial artery dominance. When the facial vein was absent, it was replaced with a transverse facial vein; this venous anomaly was accompanied by normal arterial supply pattern. This study is the first to describe the measurement of transverse facial vessels sonographically and confirms previous cadaveric studies of facial arterial and venous variation. Color Doppler can be used in the preoperative vascular assessment of both donor and recipient in facial transplantation

Type:Article
Title:The use of color Doppler ultrasound in the assessment of vessels for facial transplantation
Additional information:WoS ID: 000247499400027 Times Cited: 0ArticleEnglishRenshaw, ARoyal Free Hosp, Dept Plast & Reconstruct Surg, Pond St, London NW3 2QG, EnglandCited References Count: 19182IX530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USAPHILADELPHIA
Keywords:Adult, blood supply, Blood Vessels, Face, Facial Transplantation, Female, Humans, instrumentation, London, Male, Middle Aged, surgery, Tissue Transplantation, transplantation, ultrasonography, Ultrasonography, Doppler, Color, assessment, color Doppler ultrasound, FACE, facial transplantation, facial transplantation, facial artery, facial vein, transverse facial artery, transverse facial vein, ARTERY, SONOGRAPHY, FLOW, FLAP, HEAD, NECK, VEIN
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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