Contemporary Marking Technique of End-to-Side Venous Anastomosis with Internal Jugular Vein in Head and Neck Free Flap Cases: An Experience of 200 Cases
- 14.06.2023
- TECHNICAL NOTE
Erschienen in:
- Verfasst von
- Aakansha Bhardwaj
- Sourabh Rawat
- Umesh Bansal
- Erschienen in
- Journal of Maxillofacial and Oral Surgery | Ausgabe 5/2024
Abstract
Background
Microvascular free tissue transfer is a popular option for reconstruction of the head and neck defects following tumor ablation. Many factors are involved in the achievement of a satisfactory outcome, namely, adequate selection of the donor flap and recipient vessels, proficient anastomosis technique and postoperative care including flap monitoring. Preferential use of end-to-side anastomosis to the internal jugular vein in head and neck reconstruction offers various advantages and has consistently yielded outstanding results.
Purpose
Presented is a series of 200 consecutive cases at one institution over 1 year.
Method
In our institution, the internal jugular vein (IJV) has had the first priority in the selection of a recipient vein in free-flap head and neck reconstruction. An end-to-side anastomosis with the internal jugular vein has several advantages.
Results
We have devised a simple technique of marking the point of anastomosis with a needle prick at two points taking the diameter of pedicle vein to aid in identification of point of anastomosis.
Conclusion
This method is very reliable to ascertain the suitable lie of the pedicle vein. The diameter of the lumen for anastomosis is maintained. We had a success rate of 100% with all the cases we applied this technique on.
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- Titel
- Contemporary Marking Technique of End-to-Side Venous Anastomosis with Internal Jugular Vein in Head and Neck Free Flap Cases: An Experience of 200 Cases
- Verfasst von
-
Aakansha Bhardwaj
Sourabh Rawat
Umesh Bansal
- Publikationsdatum
- 14.06.2023
- Verlag
- Springer India
- Erschienen in
-
Journal of Maxillofacial and Oral Surgery / Ausgabe 5/2024
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X - DOI
- https://doi.org/10.1007/s12663-023-01948-x
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