Ateriovenous subclavia-shunt for head and neck reconstructionReportar como inadecuado

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Head and Face Medicine

, 4:27

First Online: 24 November 2008Received: 28 May 2008Accepted: 24 November 2008


Reconstruction of the facial hard- and soft tissues is of special concern for the rehabilitation of patients especially after ablative tumor surgery has been performed. Impaired soft and hard tissue conditions as a sequelae of extensive surgical resection and-or radiotherapy may impede common reconstruction methodes. Even free flaps may not be used without interposition of a vein graft as recipient vessels are not available as a consequence of radical neck dissection.

We describe the reconstruction of the facial hard- and soft tissues with a free parasacpular flap in a patient who had received ablative tumor surgery and radical cervical lymphadenectomy as a treatment regimen for squamous cell carcinoma SCC. To replace the missing cervical blood vessels an arteriovenous subclavia-shunt using a saphena magna graft was created. Microvascular free flap transfer was performed as a 2-stage procedure two weeks after the shunt operation. The microvascular reconstructive technique is described in detail.

Electronic supplementary materialThe online version of this article doi:10.1186-1746-160X-4-27 contains supplementary material, which is available to authorized users.

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Autor: Rita A Depprich - Christian D Naujoks - Ulrich Meyer - Norbert R Kübler - Jörg G Handschel


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