Submental flap for vascularized lymph node transfer; a CTA‐based study on lymph node distribution
| Autor: | Harm Winters, Vera A. A. Paulus, Dietmar J.O. Ulrich, Stefan Hummelink, Dalibor Vasilic, Sascha F. M. Schulten |
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| Přispěvatelé: | Plastic and Reconstructive Surgery and Hand Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty submental lymph nodes Computed Tomography Angiography Mandible Surgical Flaps 03 medical and health sciences 0302 clinical medicine Submental lymph nodes medicine.artery upper extremity Medicine Humans Lymph node Research Articles Computed tomography angiography Retrospective Studies medicine.diagnostic_test business.industry Significant difference General Medicine lymphedema Middle Aged medicine.disease Prognosis Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] Submental artery medicine.anatomical_structure Lymphedema Oncology Submental flap Head and Neck Neoplasms 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Female Radiology Lymph Lymph Nodes business Research Article VLNT Follow-Up Studies |
| Zdroj: | Journal of Surgical Oncology Journal of Surgical Oncology, 122, 1226-1231 Journal of Surgical Oncology, 122(6), 1226-1231. Wiley-Liss Inc. Journal of Surgical Oncology, 122, 6, pp. 1226-1231 |
| ISSN: | 1096-9098 0022-4790 |
| Popis: | Contains fulltext : 242015.pdf (Publisher’s version ) (Open Access) BACKGROUND: Amongst various options of vascularized lymph node transfers, the submental flap has the lowest risk for iatrogenic lymphedema. The aim of this study was to gain insight into distribution, number, and size of lymph nodes along the mandible using computed tomography angiography (CTA). METHODS: A total of 52 CTA scans of head/neck region were evaluated retrospectively. Lymph nodes in the submental and submandibular region, related to the origin of the submental artery, were recorded using a three-dimensional coordinate system, and standardized using an iterative closest point algorithm. Results were analyzed for gender, location, size, and number. RESULTS: The mean number and size of lymph nodes were 5.30 ± 2.00 and 5.28 ± 1.29 mm, respectively. The mean distance of the lymph nodes to the origin of the submental artery was 25.53 ± 15.27 mm. There was no significant difference between both sides when comparing size (left: 5.39 ± 1.28; right: 5.17 ± 1.34; P = .19), number (left: 5.46 ± 2.10; right: 5.17 ± 1.96; P = .49), and distance (left: 24.78 ± 12.23; right: 26.32 ± 14.73; P = .19). No significance was found between males and females concerning number (P = .60), size (P = .50), and distance (P = .06). CONCLUSION: The variance of lymph node distribution along the mandible may warrant conducting a CTA scan to maximize the number of transferred lymph nodes and aid in flap design. |
| Databáze: | OpenAIRE |
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