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Christensen JM, Baumann DP, Myers JN, et al. Indocyanine green near-infrared laser angiography predicts timing for the division of a forehead flap. Eplasty. 2012;12:e41
Christensen, J. M., Baumann, D. P., Myers, J. N., Buretta, K., & Sacks, J. M. (2012). Indocyanine green near-infrared laser angiography predicts timing for the division of a forehead flap. Eplasty, 12e41.
Christensen, Joani M, et al. "Indocyanine green near-infrared laser angiography predicts timing for the division of a forehead flap." Eplasty vol. 12 (2012): e41.
Christensen JM, Baumann DP, Myers JN, Buretta K, Sacks JM. Indocyanine green near-infrared laser angiography predicts timing for the division of a forehead flap. Eplasty. 2012;12:e41. Epub 2012 Aug 31. PMID: 22977676; PMCID: PMC3432576.
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Eplasty. 2012;12:e41. Epub 2012 Aug 31.

Indocyanine green near-infrared laser angiography predicts timing for the division of a forehead flap.

Eplasty

Joani M Christensen, Donald P Baumann, Jeffrey N Myers, Kate Buretta, Justin M Sacks

PMID: 22977676 PMCID: PMC3432576

Abstract

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.

References

  1. J Reconstr Microsurg. 2011 Jul;27(6):355-64 - PubMed
  2. J Reconstr Microsurg. 2010 Jan;26(1):59-65 - PubMed
  3. Plast Reconstr Surg. 2009 Aug;124(2):451-460 - PubMed
  4. Br J Plast Surg. 2002 Dec;55(8):635-44 - PubMed
  5. Ann Plast Surg. 2003 Jan;50(1):51-6 - PubMed
  6. Plast Reconstr Surg. 1998 Apr;101(5):1290-5 - PubMed
  7. Br J Plast Surg. 1991 Nov-Dec;44(8):585-8 - PubMed
  8. Plast Reconstr Surg. 2008 Oct;122(4):1062-1067 - PubMed
  9. J Trauma. 1999 Jul;47(1):89-95 - PubMed
  10. Br J Plast Surg. 1972 Jan;25(1):3-16 - PubMed
  11. J Am Acad Dermatol. 2011 Jul;65(1):97-105 - PubMed
  12. Br J Plast Surg. 1996 Mar;49(2):119-22 - PubMed
  13. Plast Reconstr Surg. 2009 Apr;123(4):1239-1244 - PubMed
  14. Dermatol Surg. 2005 Aug;31(8 Pt 2):1046-52 - PubMed
  15. Ann Plast Surg. 1999 Mar;42(3):266-74 - PubMed
  16. J Hand Surg Am. 1982 May;7(3):291-7 - PubMed
  17. Ann Plast Surg. 1992 Apr;28(4):339-41 - PubMed
  18. Plast Reconstr Surg. 2010 Jul;126(1):97-105 - PubMed
  19. Plast Reconstr Surg. 1973 Aug;52(2):185 - PubMed
  20. Br J Plast Surg. 2005 Jul;58(5):695-701 - PubMed
  21. Plast Reconstr Surg. 1984 Mar;73(3):396-402 - PubMed
  22. J Hand Surg Am. 1979 Jan;4(1):19-22 - PubMed
  23. Ann Plast Surg. 1985 Sep;15(3):262-7 - PubMed
  24. Plast Reconstr Surg. 2010 Nov;126(5):1518-1527 - PubMed
  25. J R Coll Surg Edinb. 1997 Jun;42(3):198 - PubMed
  26. Plast Reconstr Surg Transplant Bull. 1960 Apr;25:312-22 - PubMed
  27. Plast Reconstr Surg. 2002 May;109(6):1839-55; discussion 1856-61 - PubMed
  28. Eplasty. 2012;12:e30 - PubMed
  29. Ann Surg. 1943 May;117(5):692-709 - PubMed

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