Which venous system to choose for anastomosis in head and neck reconstructions?

2.50
Hdl Handle:
http://hdl.handle.net/10541/55823
Title:
Which venous system to choose for anastomosis in head and neck reconstructions?
Authors:
Ross, Gary L; Ang, Erik S W; Golger, Alex; Lannon, Declan; Addison, Patrick; Snell, Laura; Novak, Christine B; Lipa, Joan E; Gullane, Patrick J; Neligan, Peter C
Abstract:
It has been postulated that venous thrombosis in free flap surgery necessitates the use of 2 venous anastomoses into different venous systems.We retrospectively analyzed a single surgeon's 10-year experience (August 1993 to August 2003) in primary free flap reconstruction for malignant tumors of the head and neck. Of 492 primary reconstructions that did not need a vein graft, vein loop, or cephalic turnover procedure, 251 used the internal jugular venous system as venous outflow, 140 used the subclavian system as outflow, and 101 used both.Two hundred thirty-eight of 251 (95%) of flaps utilizing the internal jugular venous system for outflow were successful compared with 129 of 140 (92%) of flaps utilizing the subclavian system. Where both venous systems were used the success rate was 101 of 101 (100%) (P < 0.05).Where possible, a second venous anastomosis should be performed utilizing both venous drainage systems.
Affiliation:
Department of Head and Neck Surgery, Toronto General Hospital, Toronto, Canada. gary.ross@christie.nhs.uk
Citation:
Which venous system to choose for anastomosis in head and neck reconstructions? 2008, 61 (4):396-8 Ann Plast Surg
Journal:
Annals of Plastic Surgery
Issue Date:
Oct-2008
URI:
http://hdl.handle.net/10541/55823
DOI:
10.1097/SAP.0b013e3181629a91
PubMed ID:
18812709
Type:
Article
Language:
en
ISSN:
1536-3708
Appears in Collections:
All Christie Publications ; Surgery

Full metadata record

DC FieldValue Language
dc.contributor.authorRoss, Gary L-
dc.contributor.authorAng, Erik S W-
dc.contributor.authorGolger, Alex-
dc.contributor.authorLannon, Declan-
dc.contributor.authorAddison, Patrick-
dc.contributor.authorSnell, Laura-
dc.contributor.authorNovak, Christine B-
dc.contributor.authorLipa, Joan E-
dc.contributor.authorGullane, Patrick J-
dc.contributor.authorNeligan, Peter C-
dc.date.accessioned2009-03-16T17:21:24Z-
dc.date.available2009-03-16T17:21:24Z-
dc.date.issued2008-10-
dc.identifier.citationWhich venous system to choose for anastomosis in head and neck reconstructions? 2008, 61 (4):396-8 Ann Plast Surgen
dc.identifier.issn1536-3708-
dc.identifier.pmid18812709-
dc.identifier.doi10.1097/SAP.0b013e3181629a91-
dc.identifier.urihttp://hdl.handle.net/10541/55823-
dc.description.abstractIt has been postulated that venous thrombosis in free flap surgery necessitates the use of 2 venous anastomoses into different venous systems.We retrospectively analyzed a single surgeon's 10-year experience (August 1993 to August 2003) in primary free flap reconstruction for malignant tumors of the head and neck. Of 492 primary reconstructions that did not need a vein graft, vein loop, or cephalic turnover procedure, 251 used the internal jugular venous system as venous outflow, 140 used the subclavian system as outflow, and 101 used both.Two hundred thirty-eight of 251 (95%) of flaps utilizing the internal jugular venous system for outflow were successful compared with 129 of 140 (92%) of flaps utilizing the subclavian system. Where both venous systems were used the success rate was 101 of 101 (100%) (P < 0.05).Where possible, a second venous anastomosis should be performed utilizing both venous drainage systems.en
dc.language.isoenen
dc.subjectHead and Neck Surgeryen
dc.subjectReconstructionen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAnastomosis, Surgical-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshJugular Veins-
dc.subject.meshMale-
dc.subject.meshMicrosurgery-
dc.subject.meshMiddle Aged-
dc.subject.meshNeck-
dc.subject.meshNeck Dissection-
dc.subject.meshReconstructive Surgical Procedures-
dc.subject.meshRetrospective Studies-
dc.subject.meshSubclavian Vein-
dc.subject.meshSurgical Flaps-
dc.subject.meshTreatment Outcome-
dc.titleWhich venous system to choose for anastomosis in head and neck reconstructions?en
dc.typeArticleen
dc.contributor.departmentDepartment of Head and Neck Surgery, Toronto General Hospital, Toronto, Canada. gary.ross@christie.nhs.uken
dc.identifier.journalAnnals of Plastic Surgeryen

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