TY - JOUR
T1 - Laser-assisted indocyanine green imaging to assess perfusion of scalp closure in an infant
AU - Hinchcliff, Katharine Moss
AU - Yao, Alice
AU - Taub, Peter James
PY - 2013/11
Y1 - 2013/11
N2 - The current treatment of craniosynostosis is open surgical excision of the prematurely fused suture and cranial vault remodeling. Due to the change in skull morphology and the increase in volume, some tension on the skin flaps is noted with closure. Although complete wound breakdown is rare, it can be a devastating complication. We present our experience with the use of the SPY imaging system (Lifecell Corporation, Branchburg, NJ, USA) to visualize and record blood flow within the flaps of a 1-year-old patient with anterior plagiocephaly. Intraoperative indocyanine green angiography has the potential to be a significant advantage in such cases, providing a safe and objective method to assess intraoperative scalp perfusion, allowing the surgeon to take additional measures to ameliorate any ischemic problems.
AB - The current treatment of craniosynostosis is open surgical excision of the prematurely fused suture and cranial vault remodeling. Due to the change in skull morphology and the increase in volume, some tension on the skin flaps is noted with closure. Although complete wound breakdown is rare, it can be a devastating complication. We present our experience with the use of the SPY imaging system (Lifecell Corporation, Branchburg, NJ, USA) to visualize and record blood flow within the flaps of a 1-year-old patient with anterior plagiocephaly. Intraoperative indocyanine green angiography has the potential to be a significant advantage in such cases, providing a safe and objective method to assess intraoperative scalp perfusion, allowing the surgeon to take additional measures to ameliorate any ischemic problems.
KW - Craniosynostosis treatment
KW - indocyanine green angiography
KW - ischemia complications
KW - pediatrics
UR - http://www.scopus.com/inward/record.url?scp=84888324850&partnerID=8YFLogxK
U2 - 10.1097/SCS.0b013e3182a249ba
DO - 10.1097/SCS.0b013e3182a249ba
M3 - Article
C2 - 24220391
AN - SCOPUS:84888324850
VL - 24
SP - 2004
EP - 2006
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
SN - 1049-2275
IS - 6
ER -