Faculty, Staff and Student Publications
Publication Date
9-1-2022
Journal
Cureus
Abstract
A consecutive case series of supraclavicular artery island flaps was designed using indocyanine green angiography (IcG-A) in head and neck reconstruction to demonstrate its utilization in supraclavicular artery island flap (SCAIF) head and neck reconstruction. IcG-A was used consecutively between April 2014 and July 2015 to evaluate its use in flap design, inset, and intraoperative decision-making in five patients undergoing head and neck reconstruction. Six SCAIFs were harvested in five patients where IcG-A was used as the primary tool for flap design by visually mapping the supraclavicular artery under fluorescence. Each flap was harvested around the mapped course of the artery. Confirmatory Doppler was present in each flap raised with this technique. In all five patients, IcG-A was used to assess flap perfusion after inset. This case series demonstrates IcG-A as another tool for SCAIF design in head and neck reconstruction. The technology provides direct visualization of the pedicle before harvest. It can also be used as an intraoperative tool to visualize the blood supply once the flap is rotated to assess flap perfusion and detect areas that may be compromised, thereby improving flap survival.
Keywords
perfusion, axial flaps, intraoperative imaging, head and neck reconstruction, supraclavicular artery island flap, indocyanine green angiography
DOI
10.7759/cureus.29007
PMID
36237816
PMCID
PMC9551620
PubMedCentral® Posted Date
9-10-2022
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes