Journal
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
Volume 34, Issue 5, Pages 758-761Publisher
WILEY-BLACKWELL
DOI: 10.1002/hed.21651
Keywords
indocyanine green; sentinel lymph node; melanoma; head and neck; shine through phenomenon
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Background The triple technique (lymphoscintigraphy, patent-blue staining, and a gamma probe) constitutes a reliable method for the sentinel lymph node (SLN) biopsy. However, in head and neck melanomas, a shine-through phenomenon, which occurs because these SLNs are close to the primary focus, is irreversibly problematic. To get around the shine-through phenomenon, this study uses the fluorescence navigation with indocyanine green (ICG) as well as the triple technique. Methods. ICG is a green dye and can be used as a marker with infrared fluorescence. ICG solution is intradermally injected around the tumor. By using Photodynamic Eye ( PDE) intraoperatively, it is possible to observe the injected ICG as SLNs in the fluorescence images. Results. By use of the fluorescence imaging with ICG, clear identification of the SLN of the case became possible. Conclusions. We think the fluorescence navigation with ICG will be a useful option for the SLN biopsy in head and neck melanomas. (C) 2011 Wiley Periodicals, Inc. Head Neck 34: 758-761, 2012
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