Indocyanine green fluorescence videoangiography for reliable variations of supraclavicular artery flaps

Suzuki, Yushi; Shimizu, Yusuke; Kasai, Shogo; Yamazaki, Shun; Takemaru, Masashi; Kitamura, Takuya; Kawakami, Saori; Tamura, Takeshi

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자료유형: 학술저널

저자정보: Suzuki, Yushi (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Shimizu, Yusuke (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Kasai, Shogo (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Yamazaki, Shun (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Takemaru, Masashi (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Kitamura, Takuya (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Kawakami, Saori (Department of Plastic and Reconstructive Surgery, University of the Ryukyus) Tamura, Takeshi (Department of Plastic and Reconstructive Surgery, University of the Ryukyus)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제4호

발행연도: 2019.1

수록면: 318 - 323 (6page)

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Background Pedicled flaps are useful for reconstructive surgery. Previously, we often used vascularized supraclavicular flaps, especially for head and neck reconstruction, but then shifted to using thoracic branch of the supraclavicular artery (TBSA) flaps. However, limited research exists on the anatomy of TBSA flaps and on the use of indocyanine green (ICG) fluorescence videoangiography for supraclavicular artery flaps. We utilized ICG fluorescence videoangiography to harvest reliable flaps in reconstructive operations, and describe the results herein. Methods Data were retrospectively reviewed from six patients (five men and one woman: average age, 54 years; range, 48-60 years) for whom ICG videoangiography was performed to observe the skin perfusion of a supraclavicular flap after it was raised. Areas where the flap showed good enhancement were considered to be favorable for flap survival. The observation of ICG dye indicated good skin perfusion, which is predictive of flap survival; therefore, we trimmed any areas without dye filling and used the remaining viable part of the flap. Results The flaps ranged in size from $13{\times}5.5cm$ to $17{\times}6.5cm$. One patient received a conventional supraclavicular flap, four patients received a TBSA flap, and one patient received a flap that was considered to be intermediate between a supraclavicular flap and a TBSA flap. The flaps completely survived in all cases, and no flap necrosis was observed. Conclusions The TBSA flap is very useful in reconstructive surgery, and reliable flaps could be obtained by using ICG fluorescence videoangiography intraoperatively.

#Reconstructive surgical procedure #Surgical flaps #Indocyanine green

참고문헌 (11)

참고문헌 신청

Pallua N / 1997 / The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures / Plast Reconstr Surg 99:1878~1884

Kozin ED / 2016 / Comparison of perioperative outcomes between the supraclavicular artery island flap and fasciocutaneous free flap / Otolaryngol Head Neck Surg 154:66~72

Padiyar BV / 2017 / Usefulness of supraclavicular flap in reconstruction following resection of oral cancer / World J Otorhinolaryngol Head Neck Surg 4:148~152

Xie F / 2012 / Resurfacing large skin defects of the face and neck with expanded subclavicular flaps pedicled by the thoracic branch of the supraclavicular artery / Burns 38:924~930

Pallua N / 2013 / Moving forwards : the anterior supraclavicular artery perforator(a-SAP)flap : a new pedicled or free perforator flap based on the anterior supraclavicular vessels / J Plast Reconstr Aesthet Surg 66:489~496

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