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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...

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Autores principales: Christensen, Joani M., Baumann, Donald P., Myers, Jeffrey N., Buretta, Kate, Sacks, Justin M.
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
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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.
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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
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