External jugular veno-accompanying artery adipofascial flap: A novel and convenient flap for head and neck reconstruction.

Autor: Park SO; Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea., Ahn KC; Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea., Hong KY; Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Goyang, Korea., Chang H; Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea., Imanishi N; Department of Anatomy, Keio University College of Medicine, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2017 Nov; Vol. 39 (11), pp. 2249-2255. Date of Electronic Publication: 2017 Aug 16.
DOI: 10.1002/hed.24894
Abstrakt: Background: The veno-accompanying artery adipofascial (VAF) flap is nourished by accompanying vessels near large superficial veins. We examined whether the VAF flap can be applied to the external jugular vein.
Methods: Based on anatomic and angiographic studies, we performed reconstructive surgeries using external jugular veno-accompanying artery adipofascial (EJ-VAF) flaps. A retrospective chart review was performed for all patients who underwent this surgery.
Results: The presence of arteries accompanying the external jugular vein was confirmed. The presence of source arteries was also confirmed. These included the occipital, facial, and superior thyroid arteries. All patients had satisfactory outcomes, except for 1 patient who had partial necrosis, which was managed using conservative treatment.
Conclusion: Our anatomic and angiographic studies in this clinical series indicate that the EJ-VAF flap is a reliable and convenient flap. Thus, it is useful in reconstruction of small to medium head and neck defects.
(© 2017 Wiley Periodicals, Inc.)
Databáze: MEDLINE
Externí odkaz: