The thoracoacromial/cephalic vascular system for microvascular anastomoses in the vessel-depleted neck

被引:52
作者
Harris, JR
Lueg, E
Genden, E
Urken, ML
机构
[1] Univ Alberta, Dept Surg, WC Mackenzie Ctr, Edmonton, AB T6G 2B7, Canada
[2] So Calif Permanente Med Grp, Los Angeles Med Ctr, Los Angeles, CA 90027 USA
[3] Mt Sinai Hosp, Dept Otolaryngol, New York, NY 10029 USA
关键词
D O I
10.1001/archotol.128.3.319
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To review our experience with use of the thoracoacromial/cephalic (TAC) system in the free flap reconstruction of complicated head and neck defects. Design: Case series. Setting: Tertiary care referral center. Population: A consecutive sample of 11 patients requiring free flap reconstruction of head and neck defects using the TAC system for microvascular anastomoses was identified by medical chart review. Intervention: Free flap reconstruction of complicated defects of the head and neck using the TAC vascular system for microvascular anastomoses. Main Outcome Measures: Free flap survival and microvascular thrombosis. Results: Of 11 patients using TAC anastomoses, all had complete survival of free flaps. No complications related to anastomotic failure were identified. Conclusions: The TAC system provides a reliable source of undisturbed vessels when cervical vessels are unusable or absent.
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页码:319 / 323
页数:5
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