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Management of flaps with compromised venous outflow in head and neck microsurgical reconstruction

Management of flaps with compromised venous outflow in head and neck microsurgical reconstruction Microvascular tissue transfer has become an indispensable procedure for head and neck reconstruction. Although remarkable progress has been made technically, anastomosed vessel occlusion is still a serious complication. Even with technically skilled microsurgeons, anastomosed vessel occlusion occurs because the technique is not the sole prophylaxis against thrombosis in microsurgery. Therefore, to minimize the possibility of an unfavorable result in microsurgery, microsurgeons must be familiar with management options for a vascular compromised flap. Most investigators have agreed that venous obstruction occurs more often than arterial obstruction. Here, we reviewed the published literature on the salvage of venous compromised flaps from the viewpoints of surgical correction, including reanastomosis and catheter thrombectomy, and nonsurgical procedures, such as a medicinal leech, hyperbaric oxygen, and thrombolytic therapy. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:391–395 2002 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Microsurgery Wiley

Management of flaps with compromised venous outflow in head and neck microsurgical reconstruction

Microsurgery , Volume 22 (8) – Jan 1, 2002

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References (63)

Publisher
Wiley
Copyright
Copyright © 2002 Wiley‐Liss, Inc.
ISSN
0738-1085
eISSN
1098-2752
DOI
10.1002/micr.10059
pmid
12497578
Publisher site
See Article on Publisher Site

Abstract

Microvascular tissue transfer has become an indispensable procedure for head and neck reconstruction. Although remarkable progress has been made technically, anastomosed vessel occlusion is still a serious complication. Even with technically skilled microsurgeons, anastomosed vessel occlusion occurs because the technique is not the sole prophylaxis against thrombosis in microsurgery. Therefore, to minimize the possibility of an unfavorable result in microsurgery, microsurgeons must be familiar with management options for a vascular compromised flap. Most investigators have agreed that venous obstruction occurs more often than arterial obstruction. Here, we reviewed the published literature on the salvage of venous compromised flaps from the viewpoints of surgical correction, including reanastomosis and catheter thrombectomy, and nonsurgical procedures, such as a medicinal leech, hyperbaric oxygen, and thrombolytic therapy. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:391–395 2002

Journal

MicrosurgeryWiley

Published: Jan 1, 2002

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