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The role of indocyanine green fluorescence angiography in head and neck reconstruction: a systematic review.
This systematic review examined the use of Indocyanine Green Fluorescence Angiography (ICG-FA) to evaluate flap viability in reconstructive head and neck surgery. PUBMED, Embase, and Cochrane Library were systematically reviewed. Key outcom…
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Establishing reference curves for vital tissue perfusion using quantitative near-infrared fluorescence imaging with indocyanine green.
[PURPOSE] Assessment of tissue perfusion using near-infrared fluorescence (NIR) with indocyanine green (ICG) is gaining popularity, however reliable and objective interpretation remains a challenge. Therefore, this study aimed to establish …
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A Potential Pitfall in the Interpretation of Microscope-Integrated Fluorescence Angiography: The Center-Periphery Effect.
[BACKGROUND/OBJECTIVES] Indocyanine green fluorescence angiography (ICG-FA) enables the real-time visualization of tissue perfusion. However, objective research on microscope-integrated fluorescence angiography (FA) has not been conducted b…
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The Effect of Regional Anaesthesia on Free Flap Survival in Lower Extremity Reconstructions.
[BACKGROUND] The effect of different modalities of anaesthesia in microvascular free flap surgery has been a topic of ongoing debate. Comparative data to study the effect of general anaesthesia and regional anaesthesia in the form of periph…
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Near-infrared fluorescence angiography with indocyanine green for perfusion assessment of DIEP and msTRAM flaps: A Dutch multicenter randomized controlled trial.
[BACKGROUND] A common complication after a DIEP flap reconstruction is the occurrence of fat necrosis due to inadequate flap perfusion zones. Intraoperative identification of ischemic zones in the DIEP flap could be optimized using indocyan…
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Strategies Following Free Flap Failure in Lower Extremity Trauma: A Systematic Review.
[BACKGROUND] Free flap reconstructions are an important reconstructive option for soft tissue defects in mangled lower extremities. Microsurgery facilitates soft tissue coverage of defects that otherwise would result in amputation. However,…
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Endoscopic assisted insetting of free flaps in anterior skull base reconstruction: A preliminary report of five cases.
[INTRODUCTION] Free vascularized tissue may provide a robust reconstruction after anterior skull base surgery. We report our technique and outcomes of the endoscopic inset of free flaps in anterior skull base reconstructions. [METHODS] Bet…
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Usefulness of a template-based anterolateral thigh flap for reconstruction of head and neck defects.
[BACKGROUND] One of the challenges in head and neck reconstruction is to have an adequate understanding of the three-dimensionalities of the defects created after resections due to the high variability of clinical scenarios. Consequently, i…