Colour Doppler-Guided Superthin Inferior Gluteal Artery Perforator Flap Elevation for Ischial Pressure Ulcer Reconstruction

Authors

• Muhammed Said Aydin, Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, TurkeyFollow
• Gökay Özler, Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey
• Şükrü Kasap, Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey
• Mustafa Nişanci, Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey

Abstract

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 Muğla, 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.

Article Type

Technical Note

Publication Date

9-3-2026

First Page

490

Last Page

495

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.

Recommended Citation

Aydin, Muhammed Said; Özler, Gökay; Kasap, Şükrü; and Nişanci, Mustafa (2026) "Colour Doppler-Guided Superthin Inferior Gluteal Artery Perforator Flap Elevation for Ischial Pressure Ulcer Reconstruction," Sultan Qaboos University Medical Journal: Vol. 26: 490-495.
DOI: https://doi.org/10.18295/2075-0528.3007