Which venous system to choose for anastomosis in head and neck reconstructions?
Authors
Ross, Gary LAng, Erik S W
Golger, Alex
Lannon, Declan
Addison, Patrick
Snell, Laura
Novak, Christine B
Lipa, Joan E
Gullane, Patrick J
Neligan, Peter C
Affiliation
Department of Head and Neck Surgery, Toronto General Hospital, Toronto, Canada. gary.ross@christie.nhs.ukIssue Date
2008-10
Metadata
Show full item recordAbstract
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.Citation
Which venous system to choose for anastomosis in head and neck reconstructions? 2008, 61 (4):396-8 Ann Plast SurgJournal
Annals of Plastic SurgeryDOI
10.1097/SAP.0b013e3181629a91PubMed ID
18812709Type
ArticleLanguage
enISSN
1536-3708ae974a485f413a2113503eed53cd6c53
10.1097/SAP.0b013e3181629a91
Scopus Count
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