Utility of Indocyanine Green Fluorescence in Endoscopic Sinonasal and Skull Base Surgery
NCT04374448 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2022-11-14
Summary
The endoscope is a device placed into the nasal cavity to remove chronic sinus disease or tumor or create access into the skullbase for extensive tumor removal. Indocyanine Green (ICG) is a dye that is injected through an intravenous site and is used to light up vasculature and margins of a tumor during surgery. This helps avoid damage to important vasculature and obtain clear margins during surgery. This study aims to further assess the utility of ICG when operating within the nasal cavity or skullbase.
Conditions
- Chronic Sinusitis
- Tumor of Nasal Sinus
- Posterior Epistaxis
- Skull Base Neoplasms
Interventions
- PROCEDURE
-
Sinonasal Benign or Malignant Tumor Resection
During sinus tumor resection, margins will initially be estimated with the naked eye. Then the dye, Indocyanine Green (ICG), will be injected through the intravenous line to identify tumor margins and be compared to estimated margins.
- PROCEDURE
-
Skull Base Surgery (Assessment of Nasoseptal Flap)
In this surgery, a piece of individuals septum will be used for the reconstruction. The amount of time for the flap to fluoresce Indocyanine Green (ICG) will be measured. It will be ensured that the it is still lighting up at the end of the surgery, indicating it is still receiving a good supply and ensures longevity of the flap.
- PROCEDURE
-
Endoscopic Sinus Surgery
During the surgery, the timing of Indocyanine Green (ICG) administration to fluorescence of anterior and posterior ethmoidal artery and of the internal carotid artery will be measured.
- PROCEDURE
-
Posterior Epistaxis Management (SPA Ligation)
During surgery timing of Indocyanin Green (ICG) administration to fluorescence of the sphenopalatine artery will be measured.
Sponsors & Collaborators
-
St. Paul's Sinus Centre
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-01
- Primary Completion
- 2023-09-01
- Completion
- 2024-01-01
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