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Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
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Cephalic vein transposition in head-and-neck reconstruction.
B Benbassat1, F Cros1, A Dupret-Bories2
1Chirurgie ORL et cervico-faciale, hôpital Larrey, CHU de Toulouse, 24, chemin de Pouvourville, 31400 Toulouse, France.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|February 8, 2022
Summary
Cephalic vein transposition offers a reliable method for salvaging free flaps in head and neck reconstruction when traditional recipient vessels are unavailable. This technique addresses venous congestion, a common cause of flap failure in complex cases.
Area of Science:
- Microsurgery
- Head and Neck Reconstruction
- Vascular Surgery
Background:
- Free flap reconstruction enables complex head and neck surgeries.
- Prior surgeries and radiation limit recipient vessel options, increasing risk of venous congestion and flap failure.
- Internal and external jugular veins, commonly used for venous anastomosis, may be compromised in 7% of cases.
Purpose of the Study:
- To illustrate the technique of cephalic vein transposition for early salvage of free flaps in head and neck reconstruction.
- To present a reliable alternative for venous anastomosis when primary recipient vessels are unavailable.
Main Methods:
- Case study detailing cephalic vein transposition for early salvage of a double free flap.
- Focus on addressing venous congestion in complex head and neck reconstructions.
Main Results:
- Cephalic vein transposition proved to be a simple, reliable, and rapid technique for free flap salvage.
- Successfully addressed the challenge of limited recipient vessel availability.
Conclusions:
- Cephalic vein transposition is a valuable addition to the reconstructive surgeon's armamentarium for head and neck procedures.
- This technique provides an effective solution for managing venous congestion and salvaging compromised free flaps.
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