Selection of Appropriate Recipient Vessels in Difficult, Microsurgical Head And Neck Reconstruction
| Autor: | Ako Takamatsu, Takao Harashina, Takeo Inoue |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male Microsurgery medicine.medical_specialty Scalp business.industry medicine.medical_treatment Free flap Middle Aged Anastomosis Surgical Flaps Surgery Plastic surgery Osteoradionecrosis cardiovascular system Craniocerebral Trauma Humans Medicine Female business Head and neck Neck Selection (genetic algorithm) |
| Zdroj: | Journal of Reconstructive Microsurgery. 12:499-507 |
| ISSN: | 1098-8947 0743-684X |
| DOI: | 10.1055/s-2007-1006622 |
| Popis: | In a series of 327 cases of head and neck microsurgical reconstruction during 22 years beginning in 1974, the authors have reviewed 16 cases in which the first choice of recipient vessels was not available. The problems of selecting alternative and appropriate recipient vessels are discussed. Recipient vessels could be classified into three groups: adjacent small vessels that are usually considered to be the first choice; major vessels; and distant vessels. A correlation between the selection of substitute vessels and the region of reconstruction was found. Representative cases in each category are presented. In difficult cases in freeflap transfer, it is of prime importance to select healthy recipient vessels. Additionally, special precautions, including choice of anastomotic technique, are required. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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