Use of laser-assisted indocyanine green angiography to optimize supraclavicular flap perfusion.

Abstract

The supraclavicular flap (SCF) is pliable and suited for various reconstructions but faces drawbacks like distal flap necrosis and size constraints. This study assesses SCF perfusion using laser-assisted angiography and SPY-Q software, marking the first to describe the analysis achievable with indocyanine green (ICG) angiography in SCF reconstructions. We hypothesized that SPY-Q can enhance surgical precision and improve SCF design for head and neck reconstruction. Thirteen patients underwent SCF reconstructions. Laser-assisted ICG angiography and SPY-Q software analyzed images at key stages. Follow-up recorded flap dimensions, perfusion, and complications. SPY-Q effectively predicted complications. Patients with distal flap perfusion >36% had complication-free recoveries, while those with <27% faced higher risks. Integrating SCF with laser-assisted ICG angiography enhances reconstructive surgery by real-time perfusion assessment, reducing complications, and optimizing tissue viability.