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J Reconstr Microsurg 2022; 38(03): 193-199
DOI: 10.1055/s-0041-1740129
Review Article

Recent Advances in Ultrasound Technology: Ultra-High Frequency Ultrasound for Reconstructive Supermicrosurgery

Akitatsu Hayashi
1   Lymphedema Center, Department of Breast Center, Kameda Medical Center, Chiba, Japan
,
Giuseppe Visconti 
2   Department of Plastic and Reconstructive Surgery, Università Cattolica del “Sacro Cuore,” University Hospital “A. Gemelli,” Rome, Italy
,
Guido Giacalone
3   Department of Lymphatic Surgery, AZ Sint-Maarten Hospital, Duffel, Belgium
,
Nobuko Hayashi
4   Department of Plastic Surgery, Taiyo-kai Social Welfare Awachiiki Iryo Center, Chiba, Japan
,
Hidehiko Yoshimatsu
5   Department of Plastic Surgery, Cancer Institute Hospital of the JFCR, Tokyo, Japan
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Abstract

Background Currently, microsurgeons are in the era of supermicrosurgery and perforator flap reconstruction. As these reconstructions frequently utilize vessels that are smaller than a single millimeter, understanding of location of lymphatic vessels and perforator anatomy preoperatively is essential. To change with the times, the role of ultrasound has changed from just an adjunct to primary imaging of the choice in reconstructive supermicrosurgery. Recently, a novel ultrasonographic technique involving the use of ultra-high frequency ultrasound (UHFUS) frequencies has entered the scene, and appears a promising tool in surgical planning.

Methods The literatures on the applications of UHFUS in reconstructive supermicrosurgery were retrieved and reviewed from more than 60 literatures have been published on the surgical applications of UHFUS.

Results Nine studies were retrieved from the literature on the applications of UHFUS in reconstructive supermicrosurgery. The articles report both application for lymphatic surgery and perforator flaps.

Conclusion UHFUS application involves an increasing number of reconstructive supermicrosurgery field. UHFUS is a valuable and powerful tool for any reconstructive surgeons who are interested in performing supermicrosurgery.

Keywords

ultra-high frequency - ultrasound - supermicrosurgery - lymphedema - LVA - reconstructive microsurgery - perforator flap


Publication History

Received: 01 June 2021

Accepted: 26 September 2021

Article published online:
17 December 2021

© 2021. Thieme. All rights reserved.

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