scholarly journals A decade of reconstructive surgery: outcome and perspectives of free tissue transfer in the head and neck. Experience of a single center institution

2020 ◽  
Vol 24 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Steffen Spoerl ◽  
Shlomo Schoedel ◽  
Gerrit Spanier ◽  
Karolina Mueller ◽  
Johannes K. Meier ◽  
...  
Keyword(s):  
Head And Neck ◽  
Reconstructive Surgery ◽  
Free Tissue Transfer ◽  
Single Center ◽  
Surgery Outcome ◽  
Tissue Transfer

The outcome of prostaglandin-E1 and dextran-40 compared to no antithrombotic therapy in head and neck free tissue transfer: Analysis of 1,351 cases in a single center

Microsurgery ◽  
2012 ◽  
Vol 32 (5) ◽  
pp. 339-343 ◽  
Author(s):  
Francesco M.G. Riva ◽  
Yen-Chou Chen ◽  
Ngian-Chye Tan ◽  
Pao-Yuan Lin ◽  
Yun-Ta Tsai ◽  
...  
Keyword(s):  
Head And Neck ◽  
Antithrombotic Therapy ◽  
Prostaglandin E1 ◽  
Free Tissue Transfer ◽  
Single Center ◽  
Dextran 40 ◽  
Tissue Transfer

scholarly journals Association of Body Mass Index With Infectious Complications in Free Tissue Transfer for Head and Neck Reconstructive Surgery

2017 ◽  
Vol 143 (6) ◽  
pp. 574 ◽  
Author(s):  
Mohemmed N. Khan ◽  
Jack Russo ◽  
John Spivack ◽  
Christopher Pool ◽  
Ilya Likhterov ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Head And Neck ◽  
Body Mass ◽  
Reconstructive Surgery ◽  
Free Tissue Transfer ◽  
Infectious Complications ◽  
Tissue Transfer

scholarly journals The effect of dobutamine on blood flow of free tissue transfer flaps during head and neck reconstructive surgery*

Anaesthesia ◽  
2009 ◽  
Vol 64 (10) ◽  
pp. 1089-1093 ◽  
Author(s):  
A. Scholz ◽  
S. Pugh ◽  
M. Fardy ◽  
M. Shafik ◽  
J. E. Hall
Keyword(s):  
Blood Flow ◽  
Head And Neck ◽  
Reconstructive Surgery ◽  
Free Tissue Transfer ◽  
Tissue Transfer

Head and neck free tissue transfer in a patient with factor V Leiden: case report and review of the literature

2021 ◽  
Author(s):  
Ricardo Lugo ◽  
Fawaz Alotaibi ◽  
Brett Shirley ◽  
Dongsoo David Kim ◽  
Paul Covello ◽  
...  
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Factor V Leiden ◽  
Free Tissue Transfer ◽  
Factor V ◽  
Review Of The Literature ◽  
Tissue Transfer

scholarly journals Mechanical Anastomotic Coupling Device versus Hand-sewn Venous Anastomosis in Head and Neck Reconstruction—An Analysis of 1694 Venous Anastomoses

2021 ◽  
Vol 54 (02) ◽  
pp. 118-123
Author(s):  
Rajan Arora ◽  
Kripa Shanker Mishra ◽  
Hemant T. Bhoye ◽  
Ajay Kumar Dewan ◽  
Ravi K. Singh ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Head And Neck ◽  
Free Tissue Transfer ◽  
Effective Alternative ◽  
Head And Neck Reconstruction ◽  
Venous Anastomosis ◽  
Neck Reconstruction ◽  
Coupling Device ◽  
Tissue Transfer ◽  
Flap Loss

Abstract Background There is a steep learning curve to attain a consistently good result in microvascular surgery. The venous anastomosis is a critical step in free-tissue transfer. The margin of error is less and the outcome depends on the surgeon’s skill and technique. Mechanical anastomotic coupling device (MACD) has been proven to be an effective alternative to hand-sewn (HS) technique for venous anastomosis, as it requires lesser skill. However, its feasibility of application in emerging economy countries is yet to be established. Material and Method We retrospectively analyzed the data of patients who underwent free-tissue transfer for head and neck reconstruction between July 2015 and October 2020. Based on the technique used for the venous anastomosis, the patients were divided into an HS technique and MACD group. Patient characteristics and outcomes were measured. Result A total of 1694 venous anastomoses were performed during the study period. There were 966 patients in the HS technique group and 719 in the MACD group. There was no statistically significant difference between the two groups in terms of age, sex, prior radiotherapy, prior surgery, and comorbidities. Venous thrombosis was noted in 62 (6.4%) patients in the HS technique group and 7 (0.97%) in the MACD group (p = 0.000). The mean time taken for venous anastomosis in the HS group was 17 ± 4 minutes, and in the MACD group, it was 5 ± 2 minutes (p = 0.0001). Twenty-five (2.56%) patients in the HS group and 4 (0.55%) patients in MACD group had flap loss (p = 0.001). Conclusion MACD is an effective alternative for HS technique for venous anastomosis. There is a significant reduction in anastomosis time, flap loss, and return to operation theater due to venous thrombosis. MACD reduces the surgeon’s strain, especially in a high-volume center. Prospective randomized studies including economic analysis are required to prove the cost-effectiveness of coupler devices.

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