Arch Plast Surg.  2017 May;44(3):243-247. 10.5999/aps.2017.44.3.243.

Using a Thermal Imaging Camera to Locate Perforators on the Lower Limb

• Paul SP

• KMID: 2403920
• DOI: http://doi.org/10.5999/aps.2017.44.3.243

Abstract

Reconstruction of the lower limb presents a complex problem after skin cancer surgery, as proximity of skin and bone present vascular and technical challenges. Studies on vascular anatomy have confirmed that the vascular plane on the lower limb lies deep to the deep fascia. Yet, many flaps are routinely raised superficial to this plane and therefore flap failure rates in the lower limb are high. Fascio-cutaneous flaps based on perforators offer a better cosmetic alternative to skin grafts. In this paper, we detail use of a thermal imaging camera to identify perforator "˜compartments' that can help in designing such flaps.

Keyword

Perfusion imaging; Skin neoplasms; Perforator flap; Lower extremity

MeSH Terms

Fascia
Lower Extremity*
Perforator Flap
Perfusion Imaging
Skin
Skin Neoplasms
Transplants