Comparative Analysis of Recipient Veins in Reconstruction of Head and Neck Defects.

doi:10.13701/j.cnki.kqyxyj.2020.11.005

Abstract

Abstract: Surgical removal of tumors of the head and neck usually results in tissue defect and dysfunction, the same as trauma and other factors. Therefore, it is very important to reconstruct the anatomical shape and physiological function of the head and neck tissue defect at the same time of surgical treatment. Microvascular free skin flap transplantation has become the main method for repairing head and neck tissue defects. Selecting suitable recipient vessels is the key factor to ensure the success of free skin flap transplantation. The recipient veins of head and neck for surgeons to choose include common facial vein, lingual vein, superior thyroid vein, transverse jugular vein, superficial temporal vein, external jugular vein, and internal jugular vein. At present, venous thrombosis is the main reason for the failure of free skin flap reconstruction, so it is very important to select the appropriate recipient vein. In this paper, the factors affecting venous selection in the reconstruction of head and neck defects are reviewed to provide evidence for clinical selection and further research.

Key words: head and neck defect, reconstruction, free flaps, venous thrombosis

YIN Shoucheng, XU Zhongfei. Comparative Analysis of Recipient Veins in Reconstruction of Head and Neck Defects.[J]. Journal of Oral Science Research, 2020, 36(11): 1004-1006.

References

[1] 王帅,段维轶,徐中飞,等.前臂尺侧穿支皮瓣在口腔颌面-头颈部缺损修复中的应用[J].中国实用口腔科杂志, 2017, 10(12): 715-719.
[2] 洪鹏宇,高陆,邱冠华,等.前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损临床研究[J].口腔医学研究,2019,35(1):46-50.
[3] Liu S, Zhang WB, Yu Y, et al. Free Flap Transfer for Pediatric Head and Neck Reconstruction: What Factors Influence Flap Survival? [J]. Laryngoscope, 2018.
[4] Chalian AA, Anderson TD, Weinstein GS, et al. Internal jugular vein versus external jugular vein anastamosis: implications for successful free tissue transfer [J]. Head Neck, 2001, 23(6): 475-478.
[5] Fukuiwa T, Nishimoto K, Hayashi T, et al. Venous thrombosis after microvascular free-tissue transfer in head and neck cancer reconstruction [J]. Auris Nasus Larynx, 2008, 35(3): 390-396.
[6] 毛驰,彭歆,张雷,等.颈内静脉残端作为头颈部游离瓣移植受区静脉的可靠性探讨[J].中华口腔医学杂志,2007,42(08):487-488.
[7] Kiya K, Kubo T, Seike S, et al. Free Flap Survival Despite Internal Jugular Vein Thrombosis in Head and Neck Reconstruction [J]. Plast Reconstr Surg Glob Open, 2018, 6(1): e1647.
[8] Francis DO, Stern RE, Zeitler D, et al. Analysis of free flap viability based on recipient vein selection [J]. Head Neck, 2009, 31(10): 1354-1359.
[9] Choi JW, Kim YC, Jeon DN, et al. Impact of Recipient Vein Selection on Venous Patency and Free Flap Survival in 652 Head and Neck Reconstructions. J Reconstr Microsurg, 2020, 36(2):73-81.
[10] 李文刚, 袁锡兰, 张世周.口腔颌面显微外科重建术受区静脉选择的临床研究[J].山东医药,2003,(14): 10-12.
[11] Ross GL, Ang ES, Golger A, et al. Which venous system to choose for anastomosis in head and neck reconstructions? [J]. Ann Plast Surg, 2008, 61(4): 396-398.
[12] Ibrahim AE, Adelman DM, Parham C, et al. The External Jugular Vein Used as Recipient Vessel in Head and Neck Free Flap Reconstruction: Outcomes Compared to the Internal Jugular Vein [J]. J Craniofac Surg, 2019.
[13] Reiter M, Baumeister P. Venous anastomosis in free flap reconstruction after radical neck dissection: is the external jugular vein a feasible option? [J]. Eur Arch Otorhinolaryngol, 2017, 274(5): 2239-2244.
[14] Nakatsuka T, Harii K, Asato H, et al. Analytic review of 2372 free flap transfers for head and neck reconstruction following cancer resection [J]. J Reconstr Microsurg, 2003, 19(6): 363-368.
[15] Nahabedian MY, Singh N, Deune EG, et al. Recipient vessel analysis for microvascular reconstruction of the head and neck [J]. Ann Plast Surg, 2004, 52(2): 148-155.
[16] Gerressen M, Pastaschek C I, Riediger D, et al. Microsurgical free flap reconstructions of head and neck region in 406 cases: a 13-year experience [J]. J Oral Maxillofac Surg, 2013, 71(3): 628-35.
[17] Christianto S, Lau A, Li KY, et al. One versus two venous anastomoses in microsurgical head and neck reconstruction: a cumulative meta-analysis [J]. Int J Oral Maxillofac Surg, 2018, 47(5): 585-594.
[18] Ahmadi I, Herle P, Rozen WM, et al. One versus two venous anastomoses in microsurgical free flaps: a meta-analysis [J]. J Reconstr Microsurg, 2014, 30(6): 413-418.
[19] Chen WF, Kung YP, Kang YC, et al. An old controversy revisited-one versus two venous anastomoses in microvascular head and neck reconstruction using anterolateral thigh flap [J]. Microsurgery, 2014, 34(5): 377-383.
[20] Han Z, Li J, Li H, et al. Single versus dual venous anastomoses of the free fibula osteocutaneous flap in mandibular reconstruction: a retrospective study [J]. Microsurgery, 2013, 33(8): 652-655.
[21] Brady JS, Desai SV, Crippen MM, et al. Association of Anesthesia Duration With Complications After Microvascular Reconstruction of the Head and Neck [J]. JAMA Facial Plast Surg, 2018, 20(3):188-195.
[22] Ensat F, Schubert H, Hladik M, et al. Soft tissue reconstruction in the extremities and the head and neck area using the anterolateral thigh free flap [J]. Operative Orthopadie Und Traumatologie, 2013, 25(2): 176-184.
[23] Sacak B, Akdeniz ZD, Certel F, et al. Risk Assessment for Free Tissue Transfers: Is Old Age a Determining Factor? [J]. Journal of Craniofacial Surgery, 2015, 26(3): 856-859.
[24] Grammatica A, Piazza C, Paderno A, et al. Free flaps in head and neck reconstruction after oncologic surgery: expected outcomes in the elderly [J]. Otolaryngol Head Neck Surg, 2015, 152(5):796-802.
[25] Zhou W, Zhang WB, Yu Y, et al. Risk factors for free flap failure: a retrospective analysis of 881 free flaps for head and neck defect reconstruction [J]. International Journal of Oral and Maxillofacial Surgery, 2017, 46(8): 941-945.
[26] Paderno A, Piazza C, Bresciani L, et al. Microvascular head and neck reconstruction after (chemo) radiation: facts and prejudices [J]. Current Opinion in Otolaryngology & Head and Neck Surgery, 2016, 24(2): 83-90.
[27] Cho EH, Garcia RM, Blau J, et al. Microvascular Anastomoses Using End-to-End versus End-to-Side Technique in Lower Extremity Free Tissue Transfer [J]. Journal of Reconstructive Microsurgery, 2016, 32(2): 114-120.
[28] Piazza C, Taglietti V, Paderno A, et al. End-to-end versus end-to-side venous microanastomoses in head and neck reconstruction [J]. European Archives of Oto-Rhino-Laryngology, 2014, 271(1): 157-162.
[29] Ahmadi I, Herle P, Miller G, et al. End-to-End versus End-to-Side Microvascular Anastomosis: A Meta-analysis of Free Flap Outcomes [J]. J Reconstr Microsurg, 2017, 33(6):402-411.