PMID- 31232824
OWN - NLM
STAT- MEDLINE
DCOM- 20200925
LR  - 20221207
IS  - 1536-3708 (Electronic)
IS  - 0148-7043 (Linking)
VI  - 83
IP  - 2
DP  - 2019 Aug
TI  - End-to-Side Venous Anastomosis to a Ligated Vein Stump for Free Flap Transfer in 
      Head and Neck Reconstruction.
PG  - 180-182
LID - 10.1097/SAP.0000000000001905 [doi]
AB  - INTRODUCTION: In head and neck reconstruction, use of a free flap paired with 
      end-to-side anastomosis to a preserved vein is generally performed. However, it 
      is frequently difficult to select the recipient vein after a neck dissection in 
      which there is only a ligated internal jugular vein/external jugular vein 
      (IJV/EJV). Here, a new anastomosis technique using a ligated IJV/EJV stump is 
      described. PATIENTS AND METHODS: End-to-side anastomoses to ligated vein stump 
      surgeries for free flap transfer in head and neck reconstruction were performed 
      at the Department of Plastic and Reconstructive Surgery, University of Tsukuba, 
      from 2009 to 2016. RESULTS: The subject pool comprised 6 patients. All patients 
      received a free flap transfer after head and neck tumor excision. The free flaps 
      used were 1 free radial forearm flap, 1 free tensor fascia lata muscle perforator 
      flap, and 4 free rectus abdominis musculocutaneous flaps. The cervical vessels 
      used were 3 IJVs and 3 EJVs. All veins of the free flaps could be anastomosed 
      end-to-side to ligated vein stumps without vein grafting. All flaps survived 
      completely without complications. CONCLUSIONS: The end-to-side venous anastomosis 
      to a ligated vein stump procedures were easy to perform and not dependent on the 
      vessel diameters of the free flaps. No complications were observed in any patient 
      owing to differences in vessel diameter, ease of anastomosis, and safety. Results 
      suggest that this new technique is a simple and very useful option in head and 
      neck reconstruction where the IJV/EJV cannot be preserved.
FAU - Akazawa, Toshifumi
AU  - Akazawa T
FAU - Sekido, Mitsuru
AU  - Sekido M
FAU - Adachi, Koji
AU  - Adachi K
FAU - Sasaki, Kaoru
AU  - Sasaki K
FAU - Aihara, Yukiko
AU  - Aihara Y
FAU - Shibuya, Yoichiro
AU  - Shibuya Y
FAU - Makino, Syujiro
AU  - Makino S
AD  - Department of Oral Surgery, Hokuto Hospital, Obihiro, Hokkaido, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Ann Plast Surg
JT  - Annals of plastic surgery
JID - 7805336
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Anastomosis, Surgical/*methods
MH  - Female
MH  - Free Tissue Flaps/*blood supply
MH  - Head and Neck Neoplasms/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Plastic Surgery Procedures/*methods
MH  - Retrospective Studies
MH  - Suture Techniques
MH  - Veins/surgery
EDAT- 2019/06/25 06:00
MHDA- 2020/09/26 06:00
CRDT- 2019/06/25 06:00
PHST- 2019/06/25 06:00 [pubmed]
PHST- 2020/09/26 06:00 [medline]
PHST- 2019/06/25 06:00 [entrez]
AID - 10.1097/SAP.0000000000001905 [doi]
PST - ppublish
SO  - Ann Plast Surg. 2019 Aug;83(2):180-182. doi: 10.1097/SAP.0000000000001905.