Nima Khavanin1, Cecil Qiu2, Halley Darrach1, Franca Kraenzlin1, George Kokosis1, Tinglu Han3, Justin M Sacks1. 1. Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland. 2. Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois. 3. Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, CAMS, PUMC, Beijing, China.
Abstract
BACKGROUND: Mastectomy flap necrosis is the source of considerable morbidity and cost following breast reconstruction. A great deal of effort has been put forth to predicting and even preventing its incidence intraoperatively. METHODS: A review of the literature was performed evaluating the evidence of mastectomy skin flap perfusion technologies. RESULTS: Multiple technologies have leveraged spectroscopy and/or angiography to provide real-time assessment of flap perfusion, including indocyanine green, fluorescein, and light-based devices. CONCLUSION: This manuscript endeavors to review the evidence on mastectomy skin flap perfusion analysis, highlighting the benefits, and downsides of the current technologies and identifying exciting areas of future research and development. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
BACKGROUND: Mastectomy flap necrosis is the source of considerable morbidity and cost following breast reconstruction. A great deal of effort has been put forth to predicting and even preventing its incidence intraoperatively. METHODS: A review of the literature was performed evaluating the evidence of mastectomy skin flap perfusion technologies. RESULTS: Multiple technologies have leveraged spectroscopy and/or angiography to provide real-time assessment of flap perfusion, including indocyanine green, fluorescein, and light-based devices. CONCLUSION: This manuscript endeavors to review the evidence on mastectomy skin flap perfusion analysis, highlighting the benefits, and downsides of the current technologies and identifying exciting areas of future research and development. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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