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Related Experiment Video

Updated: Jul 10, 2026

Heterotopic Hindlimb-to-Neck Transplantation in the Mouse: A Supermicrosurgical Model of Vascularized Composite Allotransplantation
06:53

Heterotopic Hindlimb-to-Neck Transplantation in the Mouse: A Supermicrosurgical Model of Vascularized Composite Allotransplantation

Published on: April 10, 2026

Vessel-depleted neck: techniques for achieving microvascular reconstruction.

Adam S Jacobson1, Jean Anderson Eloy, Eunice Park

  • 1Mount Sinai School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Head and Neck Cancer Center, Mount Sinai Medical Center, New York, New York, USA.

Head & Neck
|November 1, 2007
PubMed
Summary

In vessel-depleted necks, alternative donor vessels like the cephalic vein, transverse cervical, internal mammary, and thoracoacromial arteries are reliable for microsurgical reconstruction. These options improve flap survival in patients with compromised neck vasculature.

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Porcine As a Training Module for Head and Neck Microvascular Reconstruction

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Area of Science:

  • Microsurgery
  • Vascular Surgery
  • Head and Neck Reconstruction

Background:

  • Recipient neck vessels for microsurgery are often compromised by prior treatments.
  • Neck dissections and radiation therapy frequently impact vessel availability.
  • Identifying alternative vessels is crucial for successful head and neck reconstruction.

Purpose of the Study:

  • To evaluate the efficacy of alternative donor vessels in vessel-depleted necks.
  • To assess flap survival rates using these alternative vessels.
  • To identify reliable vascular sources for microsurgical reconstruction in challenging cases.

Main Methods:

  • Retrospective chart review of patients undergoing microvascular reconstruction (July 2001-June 2005).
  • Analysis of donor vessels, vein grafts, and flap survival.
  • Identification of patients with vessel-depleted necks due to prior surgery and radiation.

Main Results:

  • Seven percent (14/197) of patients presented with vessel-depleted necks.
  • Alternative vessels used included transverse cervical artery, thoracoacromial artery, internal mammary artery, and inferior thyroid artery.
  • Cephalic vein was frequently used as a vein graft for revascularization.
  • Successful free flap revascularization was achieved in all identified cases.

Conclusions:

  • Cephalic vein, transverse cervical, internal mammary, and thoracoacromial vessels are dependable alternatives.
  • These vessels offer reliable options for microsurgical reconstruction in vessel-depleted necks.
  • Successful outcomes support the use of these vessels when primary recipient vessels are unavailable.