Transverse cervical vessels as a recipient site for microvascular reconstruction in vessel-depleted necks: a safe option

Schettini, Adriano-Valerio; M, Ali; Rüegg, Eva Meia; Kalbermatten, Daniel F.; Pittet‐Cuénod, Brigitte

doi:10.1016/j.jpra.2021.06.003

Cited by 6 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 Both have been well described in the plastic and reconstructive surgery literature and establishing access to these should be within the armamentarium of the reconstructive surgeon. [53][54][55] In certain situations, the concept of the reconstructive elevator (i.e., early utilization of the more complex and more appropriate operation) may be more suitable than the reconstructive ladder approach. Our case and systematic review of the literature establish recalcitrant clavicular nonunion as one such situation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vascularized Reconstruction of Recalcitrant Clavicular Nonunion with the Medial Femoral Condyle Free Flap: A Systematic Review of the Literature

Karunaratne

Romeo

2024

Journal of Hand and Microsurgery

View full text Add to dashboard Cite

Recalcitrant clavicular nonunion is an uncommon but challenging problem. Vascularized bone reconstruction is not first-line therapy due to complexity and donor morbidity, though it has utility in select cases. A systematic review of Embase and Medline databases was undertaken for cases of medial femoral condyle reconstruction for clavicle nonunion. Ten studies met inclusion, encompassing 26 patients. Mean age was 38.9 years. Ten patients were male and 16 female. Mean time of nonunion was 37.79 months prior to intervention; mean time to union following medial femoral condyle flap was 7.60 months. Two patients did not achieve union. Of the 11 patients who previously had at least one failed fixation with bone graft, considered the current “gold standard”, 9 patients (81.81%) went on to achieve union, while 2 patients (18.19%) did not. There were six reported complications in five patients. Medial femoral condyle flap is a valuable option in recalcitrant clavicle nonunion.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vascularized Reconstruction of Recalcitrant Clavicular Nonunion with the Medial Femoral Condyle Free Flap: A Systematic Review of the Literature

Karunaratne

Romeo

2024

Journal of Hand and Microsurgery

View full text Add to dashboard Cite

show abstract

“…Transvers cervical artery (TCA) is one of the options used for this rare condition when compared to standard cases. There are successful studies about the use of this vessel system in the literature (Schettini et al, 2021; Tessler et al, 2017; Yu, 2005) but; variable anatomy, need of vein grafts, risk of thoracic duct injury are some drawbacks about this approach (Jacobson et al, 2008; Prince et al, 2020; Tessler et al, 2017; Yu, 2005). Superficial temporal artery (STA) and vein are another commonly used options.…”

Section: Discussionmentioning

confidence: 99%

Transferring pectoral muscle flap to depleted neck to create a new recipient source for free flaps in head and neck reconstruction

2022

View full text Add to dashboard Cite

show abstract

“…2 In such cases, the reconstructive surgeon faces the challenge of finding an appropriate and reliable vessel for anastomosis. The criteria for a suitable vessel are as follows: 3 1. Reliable anatomical architecture with minimum or no atherosclerotic changes, absence of intimal damage, and dynamic and pulsatile blood flow.…”

Section: Introductionmentioning

confidence: 99%

“…In such cases, the reconstructive surgeon faces the challenge of finding an appropriate and reliable vessel for anastomosis. The criteria for a suitable vessel are as follows: 3 …”

Section: Introductionmentioning

confidence: 99%

Lingual Artery as the Recipient Vessel of Choice in Patients Requiring a Second or Third Free Flap in Recurrent Oral Cancers and Vessel-Depleted Neck: A 5-Year Experience in a Single Institute

Dhondge,

Hussain,

Singh

et al. 2023

Indian J Plast Surg

View full text Add to dashboard Cite

Introduction Reconstruction with free flaps becomes a challenge in recurrent cases having previously treated necks, in patients who have received prior radiation therapy or chemotherapy or both, and where the patient has already undergone free flap reconstruction in a prior surgery. Depleted cervical recipient vessels can increase the complexity of reconstruction in achieving successful free flap prefusion and thereby increasing flap thrombosis and eventually failure. Materials and Methods Over a period of 5 years from January 2018 to February 2023, we encountered a total of 22 cases of recurrent or second primary oral cancer with bilateral necks operated, postadjuvant chemo-radiotherapy, and requiring a second or third free flap reconstruction. In most of the cases we resorted to the lingual artery as the recipient artery of choice. Results No flap loss was reported. No cases were reexplored either for hematoma or for congestion. All patients recovered uneventfully. Conclusion To the best of our knowledge, there has been no paper yet that focuses on the lingual artery to be the recipient vessel of choice in recurrent oral cancers. We find the lingual artery to be a reliable and safe option and advocate its usage as recipient vessel of choice in recurrent oral cancers requiring more than one free flap reconstruction.

show abstract

Transverse cervical vessels as a recipient site for microvascular reconstruction in vessel-depleted necks: a safe option

Cited by 6 publications

References 16 publications

Vascularized Reconstruction of Recalcitrant Clavicular Nonunion with the Medial Femoral Condyle Free Flap: A Systematic Review of the Literature

Vascularized Reconstruction of Recalcitrant Clavicular Nonunion with the Medial Femoral Condyle Free Flap: A Systematic Review of the Literature

Transferring pectoral muscle flap to depleted neck to create a new recipient source for free flaps in head and neck reconstruction

Lingual Artery as the Recipient Vessel of Choice in Patients Requiring a Second or Third Free Flap in Recurrent Oral Cancers and Vessel-Depleted Neck: A 5-Year Experience in a Single Institute

Contact Info

Product

Resources

About