Objective:

To evaluate the role of preoperative digital computed tomographic angiography (CTA) in ALT flap planning for vulvar reconstruction following Vulvar Paget's disease excision.

Approach:

Key Findings:

• Digital CTA effectively delineated the origin, course, and caliber of perforator vessels.
• The flap demonstrated good perfusion and satisfactory vulvar morphology postoperatively.
• The donor site healed without complications.

Interpretation:

Preoperative CTA enhances surgical predictability and safety in ALT flap reconstruction for vulvar defects.

Limitations:

• The study is based on a single case, limiting generalizability.
• Lack of comparative analysis with traditional imaging methods.

Conclusion:

Preoperative CTA serves as a valuable adjunct in vulvar reconstruction following Vulvar Paget's disease excision.

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