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Noninvasive Free Flap Monitoring Using Eulerian Video Magnification
Author(s) -
Yuan Fang Liu,
Christopher Vuong,
Paul C. Walker,
Nathaniel R. Peterson,
Jared C. Inman,
Pedro Alcantara Andrade Filho,
Steve Choon-Sung Lee
Publication year - 2016
Publication title -
case reports in otolaryngology
Language(s) - English
Resource type - Journals
eISSN - 2090-6765
pISSN - 2090-6773
DOI - 10.1155/2016/9471696
Subject(s) - free flap , magnification , medicine , eulerian path , free flap reconstruction , computer science , hands free , surgery , computer vision , human–computer interaction , physics , lagrangian , mathematical physics
Eulerian Video Magnification (EVM) can enhance subtle changes in videos to reveal what was once invisible to the naked eye. In this proof of concept study, we investigated using EVM as a novel form of free flap monitoring. Free flaps with skin paddles were filmed in the operating room with manipulation of their pedicles. In a representative 77-year-old female who received a latissimus dorsi-serratus-rib composite free flap, EVM was able to detect blockage of arterial or venous supply instantaneously, providing a visible representation through degree of color change in videos. EVM has the potential to serve as a powerful free flap monitoring tool with the benefit of being noninvasive, sensitive, easy-to-use, and nearly cost-free.

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