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Bimodal diagnosis of venous congestion in skin flaps after facelift: data of laser Doppler flowmetry and optical coherence tomography angiography

Bimodal diagnosis of venous congestion in skin flaps after facelift: data of laser Doppler flowmetry and optical coherence tomography angiography

Authors:
Светлана Константиновна Тишкова,
Максим Георгиевич Рябков,
Елена Борисовна Киселева

Журнал: Пластическая хирургия и эстетическая медицина. 2026;(3):8-15.

DOI: 10.17116/plast.hirurgia20260318

Read: 370 раз

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Abstract

OBJECTIVE

To identify early signs of venous congestion in facial flaps after facelift using laser Doppler flowmetry (LDF) and optical coherence tomography angiography (OCTA).

MATERIAL AND METHODS

The study included 74 lateral facial flaps from 37 patients who underwent facelift surgery. Blood circulation in flaps with venous congestion (n=7) and flaps without complications (n=67) was studied using OCTA and LDF after 2 and 7 postoperative days.

RESULTS

According to LDF, microcirculation index (MI) changes were codirectional, but differed in intensity. In flaps with venous congestion, MI increased faster and exceeded preoperative value by 53% after 7 days. OCTA signs of venous congestion in flaps were associated with reduced overall density of vascular network. The peculiarity of LDF in diagnosis of venous congestion in a flap is high sensitivity (86%), but relatively low specificity (42%).

CONCLUSION

The advantage of combination of both methods (laser Doppler flowmetry and optical coherence tomography angiography) is higher specificity of diagnosis of venous congestion in flaps (78%) with high sensitivity.

Keywords

  • facial surgery
  • facelift
  • complications
  • blood circulation assessment
  • biovisualization
  • venous congestion
  • skin flaps

Дата поступления: 30.04.2025

Дата принятия в печать: 20.06.2025

Дата публикации: 21.09.2026

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