The use of transverse cervical artery and cephalic vein A-V loop as alternative recipient vessels in free flap breast reconstruction

2017 ◽  
Vol 115 (6) ◽  
pp. 665-667
Author(s):  
Rebecca M. Garza ◽  
Laura S. Humphries ◽  
David W. Chang
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Cephalic Vein ◽  
Cervical Artery ◽  
Transverse Cervical Artery

scholarly journals Revisiting the Transverse Cervical Artery and Vein for Complex Head and Neck Reconstruction

2019 ◽  
Vol 04 (02) ◽  
pp. e54-e57
Author(s):  
Eitan Prisman ◽  
Peter Baxter ◽  
Eric M. Genden
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Retrospective Chart Review ◽  
Senior Author ◽  
Head And Neck Reconstruction ◽  
Viable Option ◽  
Neck Reconstruction ◽  
Primary Treatment Modality ◽  
Cervical Artery ◽  
Transverse Cervical Artery

Background Chemoradiotherapy is the primary treatment modality for glottic and pharyngeal subsites. Management of recurrence or second primaries in this setting is a surgical challenge requiring complex free flap reconstruction. One of the major barriers to effective reconstruction is the availability of suitable recipient vessels. We propose that the transverse cervical artery (TCA) is a viable option for complex head and neck reconstruction. Methods A retrospective chart review of 230 consecutive free tissue reconstructive cases was performed by the senior author (EG). Results Forty cases were identified that used the TCA for arterial anastomosis. Twenty-six patients had prior treatment, 13 of which had multimodality treatment. There were no microvasculature free flap failures and 5 minor flap complications. Conclusions Our experience with the TCA suggests it is a viable option for complex head and neck reconstruction, particularly in the setting of prior comprehensive neck dissection or radiation. In addition, the location of the TCA provides favorable pedicle geometry for microvascular anastomosis.

scholarly journals Cephalic Vein Transposition versus Vein Grafts for Venous Outflow in Free-flap Breast Reconstruction

2014 ◽  
Vol 2 (5) ◽  
pp. e141 ◽  
Author(s):  
Edward I. Chang ◽  
Regina M. Fearmonti ◽  
David W. Chang ◽  
Charles E. Butler
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Cephalic Vein ◽  
Venous Outflow ◽  
Vein Grafts

Third Place — Resident Clinical Science Award 1995: Transverse Cervical Artery Fasciocutaneous Free Flap for Head and Neck Reconstruction: Initial Anatomic and Dye Studies

1995 ◽  
Vol 113 (5) ◽  
pp. 564-568
Author(s):  
Beth Rhodes Mizerny ◽  
Marie-Lucie Lessard ◽  
Martin Jacob Black
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Soft Tissues ◽  
Trapezius Muscle ◽  
Blue Dye ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Cervical Artery ◽  
Artery Branch ◽  
Transverse Cervical Artery

METHOD: The bilateral transverse cervical arteries of 16 fresh cadavers were exposed by an infraclavicular midline approach, Each artery was cannulated, and methylene blue dye was infused to delineate the skin territory subserved by the vessel. The two major infusion skin patterns obtained allowed fashioning of a thin fasciocutaneous flap incorporating supraclavicular skin, which was based on the transverse cervical artery; or a larger flap additionally incorporating upper back skin and varying amounts of trapezius muscle, when the artery had a dorsal scapular artery branch. Depending on the skin pattern, either scapula or clavicle could be transferred with the other soft tissues. RESULTS: The skin territory of the transverse cervical artery is caused to vary by the presence or absence of its dorsal scapular artery branch, The supraclavicular portion of the flap is recommended for repair of facial and nasal lesions because of its close match in color and texture to facial skin. Oral lesions can also be reconstructed with this flap because of its pliability. CONCLUSION: The free flap based on the transverse cervical artery pedicle appears to be a useful addition to the armamentarium of flaps for head and neck reconstruction. Clinical use of the flap is ongoing and will be subsequently reported.

scholarly journals Free Flap Reconstruction of a Challenging Defect in the Posterior Cervicothoracic Region Using the Transverse Cervical Artery

2020 ◽  
Vol 25 (4) ◽  
pp. 314-319
Author(s):  
Nae-Ho Lee ◽  
Du-Heon Seo ◽  
Si-Gyun Roh ◽  
Suk Choo Chang ◽  
Jin Yong Shin
Keyword(s):  
Free Flap ◽  
Chronic Wound ◽  
Jugular Vein ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Regional Flap ◽  
Anterolateral Thigh ◽  
Cervical Artery ◽  
Microvascular Free Flap ◽  
Transverse Cervical Artery

Reconstructions of large defects located in the posterior cervicothoracic region still present challenges to plastic surgeons. The local or regional flap is preferred in the posterior cervicothoracic region and many surgeons are reluctant to perform reconstruction using a microvascular free flap because of various reasons including vascular paucity. We report a case of a 60-year-old patient with the chronic wound at posterior cervicothoracic region. An anterolateral thigh free flap was considered the best available reconstructive method due to the size of the defect and the possibility of damaging the dorsal scapular artery. We used the transverse cervical artery and jugular vein as recipient vessels and the better result was shown than that of regional or local flaps. In our report, we presented that the transverse cervical artery which didn’t have commonly used can provide a reliable and advantageous recipient artery for the microvascular free flap reconstruction of posterior cervicothoracic defects.

Safety of a Modified Lipoabdominoplasty Technique for Donor-Site Closure in Abdominal-Based Free Flap Breast Reconstruction

2021 ◽  
Author(s):  
Dimitra Kotsougiani-Fischer ◽  
Laura Sieber ◽  
Sebastian Fischer ◽  
Christoph Hirche ◽  
Spyridoula Maraka ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Donor Site
Sign in / Sign up

Export Citation Format

Share Document