case_images: PMC3579431_01
case_images: Template of defect and proposed reconstruction.
case_images: eplasty13e08_fig1.jpg
case_images: PMC3579431_01_eplasty13e08_fig1.jpg
case_images: F1
case_images: A Doppler probe was used to identify the course of the right supratrochlear vessels (Fig 1).
case_images: Transposed forehead flap.
case_images: eplasty13e08_fig2.jpg
case_images: PMC3579431_01_eplasty13e08_fig2.jpg
case_images: F2
case_images: The flap was then transposed into the defect and sutured in place with interrupted sutures (Fig 2).
case_images: Intraoperative evaluation of forehead flap perfusion after clamping of pedicle and injection of indocyanine green using SPY technology. Fluorescence is demonstrated in transferred flap in spite of pedicle clamping, indicating perfusion to flap. SPY technology subsequently demonstrates continued flap perfusion after division of pedicle and inset of flap.
case_images: eplasty13e08_fig3.jpg
case_images: PMC3579431_01_eplasty13e08_fig3.jpg
case_images: F3
case_images: A 10-mg dose of ICG was administered intravenously and images were captured with the SpyElite System (Fig 3). (There is not currently a consensus as to the dose of ICG that should be administered. A second 10-mg dose of ICG was administered intravenously after inset (23 minutes after the first dose was given) to confirm perfusion and flap viability (Fig 3). This is further confirmed by viewing the second image in Fig 3, which demonstrates an increase in fluorescence when compared with the surrounding tissues.