Utility of Indocyanine Green Angiography to Identify Clinical Factors Associated With Perfusion of Paramedian Forehead Flaps During Nasal Reconstruction Surgery

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Intraoperative angiography using laser-assisted indocyanine green imaging to map perfusion of forehead flaps.

OBJECTIVE To quantify the perfusion of forehead flaps and compare blood flow from the supratrochlear artery with vascular in-growth at the recipient bed. METHODS Patients with nasal defects necessitating forehead flap closure were prospectively enrolled to study flap perfusion dynamics. Laser-assisted indocyanine green angiography was used to obtain the measurements. When possible, patients r...

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CASE REPORT Laser-Assisted Indocyanine Green Evaluation of Paramedian Forehead Flap Perfusion Prior to Pedicle Division

OBJECTIVE To present the use of indocyanine green and the LifeCell SpyElite System to confirm perfusion and viability of a forehead flap prior to division and inset, thereby eliminating the question of flap survival based on clinical judgment alone. METHODS A case report of a 67-year-old man with a forehead flap reconstruction following an acquired nasal defect due to resection of an adenoid ...

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Paramedian forehead flap for nasal tip reconstruction after Mohs surgery

The paramedian forehead flap is a great option for restoring complex nasal defects. Its main indications are large and deep wounds located on the distal third of the nose (tip and ala). For full-thickness defects, the paramedian forehead flap may be used alone or in combination with other methods. We presented a patient with a nodular basal cell carcinoma on the nasal tip and collumela treated ...

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Outcomes of paramedian forehead and nasolabial interpolation flaps in nasal reconstruction.

OBJECTIVE To determine the factors contributing to failure of interpolation flaps in nasal reconstruction. DESIGN Retrospective medical chart review. SETTING Tertiary care academic center. PATIENTS A total of 107 patients with nasal defects needing reconstruction, performed at the University of Arkansas for Medical Sciences, Little Rock. INTERVENTION Patients underwent nasal reconstruct...

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[Paramedian forehead flap for the reconstruction of extensive nasal defects].

BACKGROUND The Department of Dermatology at Hospital Universitario de Guadalajara in Spain is a referral center for Mohs micrographic surgery. Consequently, we are regularly faced with the problem of repairing large surgical defects on the nose. The paramedian forehead flap is currently one of the techniques of choice for the repair of such defects. MATERIALS AND METHODS We review our experie...

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ژورنال

عنوان ژورنال: JAMA Facial Plastic Surgery

سال: 2019

ISSN: 2168-6076,2168-6092

DOI: 10.1001/jamafacial.2018.1829