Cargando…
Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap
Introduction: Reconstruction with flaps requiring delayed division remains common, even with increasing use of free tissue transfer. Patient quality of life and function are significantly decreased during the delay period. Delay could be minimized by developing methods to reliably determine when the...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Open Science Company, LLC
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3432576/ https://www.ncbi.nlm.nih.gov/pubmed/22977676 |
_version_ | 1782242227214352384 |
---|---|
author | Christensen, Joani M. Baumann, Donald P. Myers, Jeffrey N. Buretta, Kate Sacks, Justin M. |
author_facet | Christensen, Joani M. Baumann, Donald P. Myers, Jeffrey N. Buretta, Kate Sacks, Justin M. |
author_sort | Christensen, Joani M. |
collection | PubMed |
description | Introduction: Reconstruction with flaps requiring delayed division remains common, even with increasing use of free tissue transfer. Patient quality of life and function are significantly decreased during the delay period. Delay could be minimized by developing methods to reliably determine when the flap has developed sufficient vascular supply to undergo successful division. We report the use of laser angiography to determine the appropriate time for division of a forehead flap pedicle. Methods: The patient who had risk factors for microvascular disease underwent near-infrared laser angiography using indocyanine green on postoperative day 21 to assess vascular perfusion of the flap. Although traditional clinical examination indicated the flap was not adequately perfused, laser angiography revealed perfusion to all areas of the flap, so the pedicle was divided. Results: Pedicle division was successful, with no epidermolysis or necrosis. Conclusion: Near-infrared laser angiography with indocyanine green can assess perfusion status of the entire flap and inform the decision to divide the flap in an objective manner. |
format | Online Article Text |
id | pubmed-3432576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Open Science Company, LLC |
record_format | MEDLINE/PubMed |
spelling | pubmed-34325762012-09-13 Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap Christensen, Joani M. Baumann, Donald P. Myers, Jeffrey N. Buretta, Kate Sacks, Justin M. Eplasty Journal Article Introduction: Reconstruction with flaps requiring delayed division remains common, even with increasing use of free tissue transfer. Patient quality of life and function are significantly decreased during the delay period. Delay could be minimized by developing methods to reliably determine when the flap has developed sufficient vascular supply to undergo successful division. We report the use of laser angiography to determine the appropriate time for division of a forehead flap pedicle. Methods: The patient who had risk factors for microvascular disease underwent near-infrared laser angiography using indocyanine green on postoperative day 21 to assess vascular perfusion of the flap. Although traditional clinical examination indicated the flap was not adequately perfused, laser angiography revealed perfusion to all areas of the flap, so the pedicle was divided. Results: Pedicle division was successful, with no epidermolysis or necrosis. Conclusion: Near-infrared laser angiography with indocyanine green can assess perfusion status of the entire flap and inform the decision to divide the flap in an objective manner. Open Science Company, LLC 2012-08-31 /pmc/articles/PMC3432576/ /pubmed/22977676 Text en Copyright © 2012 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Journal Article Christensen, Joani M. Baumann, Donald P. Myers, Jeffrey N. Buretta, Kate Sacks, Justin M. Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap |
title | Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap |
title_full | Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap |
title_fullStr | Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap |
title_full_unstemmed | Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap |
title_short | Indocyanine Green Near-Infrared Laser Angiography Predicts Timing for the Division of a Forehead Flap |
title_sort | indocyanine green near-infrared laser angiography predicts timing for the division of a forehead flap |
topic | Journal Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3432576/ https://www.ncbi.nlm.nih.gov/pubmed/22977676 |
work_keys_str_mv | AT christensenjoanim indocyaninegreennearinfraredlaserangiographypredictstimingforthedivisionofaforeheadflap AT baumanndonaldp indocyaninegreennearinfraredlaserangiographypredictstimingforthedivisionofaforeheadflap AT myersjeffreyn indocyaninegreennearinfraredlaserangiographypredictstimingforthedivisionofaforeheadflap AT burettakate indocyaninegreennearinfraredlaserangiographypredictstimingforthedivisionofaforeheadflap AT sacksjustinm indocyaninegreennearinfraredlaserangiographypredictstimingforthedivisionofaforeheadflap |