Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Interposition vein grafting in head and neck reconstructive microsurgery

M J Miller1, M A Schusterman, G P Reece

  • 1Department of Reconstructive and Plastic Surgery, University of Texas, M.D. Anderson Cancer Center, Houston 77030.

Journal of Reconstructive Microsurgery
|May 1, 1993
PubMed
Summary

Interposition vein grafts in head and neck cancer reconstruction were associated with lower success rates. This study suggests caution when using these grafts, especially in patients with prior therapy.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Long-term implantation of preadipocyte-seeded PLGA scaffolds.

Tissue engineering·2002
Same author

Cutaneous metastases of penile squamous cell carcinoma following en bloc resection of inguinal recurrence with immediate pedicle flap reconstruction.

The Journal of urology·2001
Same author

Thrombolytic therapy: what is its role in free flap salvage?

Annals of plastic surgery·2001
Same author

Aesthetically successful mandibular reconstruction with a single reconstruction plate.

Clinics in plastic surgery·2001
Same author

Comparison of cost for DIEP and free TRAM flap breast reconstructions.

Plastic and reconstructive surgery·2001
Same author

Comparison of the costs of DIEP and TRAM flaps.

Plastic and reconstructive surgery·2001

Area of Science:

  • Plastic Surgery
  • Oncology
  • Vascular Surgery

Background:

  • Free tissue transfer is crucial for head and neck cancer reconstruction.
  • Interposition vein grafts are sometimes used to bridge vascular gaps.
  • The impact of these grafts on reconstruction outcomes requires clarification.

Observation:

  • A review of 191 free tissue transfers was conducted.
  • Interposition vein grafts were used in 17 cases, often in patients with prior loco-regional therapy.
  • The overall technical success rate was 93.2%.

Findings:

  • Cases utilizing interposition vein grafts showed a significantly lower success rate (70.6%) compared to those without (95%).
  • Flap failure incidence was higher in reconstructions with vein grafts.

Related Experiment Videos

  • Vein graft use was most common in patients with recurrent cancer or prior treatments.

    • Implications:

    • The use of interposition vein grafts may negatively impact free tissue transfer success in head and neck cancer reconstruction.
    • Further research is needed to understand the causal mechanisms and optimize graft selection.
    • Consideration of alternative techniques may be warranted for complex cases.