The Thoracoacromial/cephalic Vascular System for Microvascular Anastomoses in the Vessel-depleted Neck

Overview

Journal Arch Otolaryngol Head Neck Surg

Publisher American Medical Association

Specialty Otorhinolaryngology

Date 2002 Mar 12

PMID 11886351

Citations 8

Authors

Jeffrey R Harris

E Lueg

E Genden

M L Urken

Affiliations

Soon will be listed here.

Abstract

Objective: To review our experience with use of the thoracoacromial/cephalic (TAC) system in the free flap reconstruction of complicated head and neck defects.

Design: Case series.

Setting: Tertiary care referral center.

Population: A consecutive sample of 11 patients requiring free flap reconstruction of head and neck defects using the TAC system for microvascular anastomoses was identified by medical chart review.

Intervention: Free flap reconstruction of complicated defects of the head and neck using the TAC vascular system for microvascular anastomoses.

Main Outcome Measures: Free flap survival and microvascular thrombosis.

Results: Of 11 patients using TAC anastomoses, all had complete survival of free flaps. No complications related to anastomotic failure were identified.

Conclusions: The TAC system provides a reliable source of undisturbed vessels when cervical vessels are unusable or absent.

Citing Articles

Head and Neck Reconstruction of the Vessel-Depleted Neck: A Systematic Review of the Literature.

Kushida-Contreras B, Manrique O, Gaxiola-Garcia M Ann Surg Oncol. 2021; 28(5):2882-2895.

PMID: 33550502 DOI: 10.1245/s10434-021-09590-y.

Head and Neck Reconstruction in the Vessel Depleted Neck.

Prince A, Broderick M, Heft Neal M, Spector M Front Oral Maxillofac Med. 2020; 2.

PMID: 33236000 PMC: 7682923. DOI: 10.21037/fomm-20-38.

A New Pedicled Internal Mammary Osteomyocutaneous Chimeric Flap (PIMOC) for Salvage Head and Neck Reconstruction: Anatomic Study and Clinical Application.

Barreiro G, Snider C, Galvao F, Baptista R, Kasai K, Dos Anjos D Sci Rep. 2017; 7(1):12960.

PMID: 29021615 PMC: 5636798. DOI: 10.1038/s41598-017-13428-7.

Transverse cervical vessels as recipient vessels in oral and maxillofacial microsurgical reconstruction after former operations with or without radiotherapy.

Xu Z, Duan W, Zhang E, Bai S, Tian Y, Tan X World J Surg Oncol. 2015; 13:183.

PMID: 25966959 PMC: 4485336. DOI: 10.1186/s12957-015-0576-8.

[Grafts with microvascular anastomosis. Their use in the head and neck region following radiotherapy and vessel depletion].

Zaoui K, Federspil P, Plinkert P, Simon C HNO. 2013; 61(7):573-9.

PMID: 23532515 DOI: 10.1007/s00106-013-2673-8.