Angular Vessels for Free‐Tissue Transfer in Head and Neck Reconstruction: Clinical Outcomes

2020 ◽  
Vol 130 (11) ◽  
pp. 2589-2592
Author(s):  
Andrea Hanick ◽  
Peter Ciolek ◽  
Michael Fritz
Keyword(s):  
Head And Neck ◽  
Clinical Outcomes ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Tissue Transfer

scholarly journals Mechanical Anastomotic Coupling Device versus Hand-sewn Venous Anastomosis in Head and Neck Reconstruction—An Analysis of 1694 Venous Anastomoses

2021 ◽  
Vol 54 (02) ◽  
pp. 118-123
Author(s):  
Rajan Arora ◽  
Kripa Shanker Mishra ◽  
Hemant T. Bhoye ◽  
Ajay Kumar Dewan ◽  
Ravi K. Singh ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Head And Neck ◽  
Free Tissue Transfer ◽  
Effective Alternative ◽  
Head And Neck Reconstruction ◽  
Venous Anastomosis ◽  
Neck Reconstruction ◽  
Coupling Device ◽  
Tissue Transfer ◽  
Flap Loss

Abstract Background There is a steep learning curve to attain a consistently good result in microvascular surgery. The venous anastomosis is a critical step in free-tissue transfer. The margin of error is less and the outcome depends on the surgeon’s skill and technique. Mechanical anastomotic coupling device (MACD) has been proven to be an effective alternative to hand-sewn (HS) technique for venous anastomosis, as it requires lesser skill. However, its feasibility of application in emerging economy countries is yet to be established. Material and Method We retrospectively analyzed the data of patients who underwent free-tissue transfer for head and neck reconstruction between July 2015 and October 2020. Based on the technique used for the venous anastomosis, the patients were divided into an HS technique and MACD group. Patient characteristics and outcomes were measured. Result A total of 1694 venous anastomoses were performed during the study period. There were 966 patients in the HS technique group and 719 in the MACD group. There was no statistically significant difference between the two groups in terms of age, sex, prior radiotherapy, prior surgery, and comorbidities. Venous thrombosis was noted in 62 (6.4%) patients in the HS technique group and 7 (0.97%) in the MACD group (p = 0.000). The mean time taken for venous anastomosis in the HS group was 17 ± 4 minutes, and in the MACD group, it was 5 ± 2 minutes (p = 0.0001). Twenty-five (2.56%) patients in the HS group and 4 (0.55%) patients in MACD group had flap loss (p = 0.001). Conclusion MACD is an effective alternative for HS technique for venous anastomosis. There is a significant reduction in anastomosis time, flap loss, and return to operation theater due to venous thrombosis. MACD reduces the surgeon’s strain, especially in a high-volume center. Prospective randomized studies including economic analysis are required to prove the cost-effectiveness of coupler devices.

scholarly journals Regional Salvage Flap Options in Head and Neck Reconstruction

2020 ◽  
Vol 34 (04) ◽  
pp. 293-298
Author(s):  
Camil Correia ◽  
Weitao Wang ◽  
Aurora G. Vincent ◽  
David Chan ◽  
Yadranko Ducic
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Success Rates ◽  
Neck Reconstruction ◽  
Tissue Transfer ◽  
Regional Flap

AbstractMicrovascular free tissue transfer is the standard in the complex head and neck reconstruction with success rates greater than 95%. Free tissue transfer allows for more versatility in reconstructing complex defects with better tissue match. Failures, however, do occur and subsequent free tissue transfer might not be an option due to either the patients' health or in a vessel depleted neck. In these challenging salvage scenarios, the head and neck reconstructive surgeon must turn to regional flaps for reconstruction. Here, we review multiple regional flap options for salvage head and neck reconstruction.

scholarly journals Arterial Coupling for Microvascular Free Tissue Transfer in Head and Neck Reconstruction

2005 ◽  
Vol 131 (10) ◽  
pp. 891 ◽  
Author(s):  
Douglas A. Ross ◽  
Jen Y. Chow ◽  
Joseph Shin ◽  
Richard Restifo ◽  
John K. Joe ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Tissue Transfer

Microvascular Free Tissue Transfer for Head and Neck Reconstruction in Children

2016 ◽  
Vol 27 (4) ◽  
pp. 846-856 ◽  
Author(s):  
Michael R. Markiewicz ◽  
Ramon L. Ruiz ◽  
Phillip Pirgousis ◽  
R. Bryan Bell ◽  
Eric J. Dierks ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Tissue Transfer

Free tissue transfer in head and neck reconstruction

1989 ◽  
Vol 10 (2) ◽  
pp. 110-123 ◽  
Author(s):  
Sebastian Arena ◽  
Michael Fritsch ◽  
Elias Y. Hill
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Tissue Transfer

Short-stay hospital admission after free tissue transfer for head and neck reconstruction

2016 ◽  
Vol 126 (12) ◽  
pp. 2679-2683 ◽  
Author(s):  
Conor M. Devine ◽  
Timothy M. Haffey ◽  
Samuel Trosman ◽  
Michael A. Fritz
Keyword(s):  
Hospital Admission ◽  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Short Stay ◽  
Neck Reconstruction ◽  
Tissue Transfer ◽  
Stay Hospital

Use of Intraoperative Fluorescent Angiography to Assess and Optimize Free Tissue Transfer in Head and Neck Reconstruction

2013 ◽  
Vol 71 (8) ◽  
pp. 1439-1449 ◽  
Author(s):  
J. Marshall Green ◽  
Shane Thomas ◽  
Jennifer Sabino ◽  
Robert Howard ◽  
Patrick Basile ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Tissue Transfer
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