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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >End-to-side venous anastomosis with an anastomotic coupling device for microvascular free-tissue transfer in head and neck reconstruction.
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End-to-side venous anastomosis with an anastomotic coupling device for microvascular free-tissue transfer in head and neck reconstruction.

机译：端到端静脉吻合与吻合耦合装置，用于头颈部重建中的微血管自由组织转移。

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OBJECTIVE: The purpose of this study is to demonstrate the success rate of using a coupling device for end-to-side venous anastomosis in patients undergoing free-tissue transfer (FTT) in head and neck reconstruction. METHODS AND MEASURES: Retrospective data were collected in consecutive series of 134 patients undergoing surgical resection of head and neck tumors followed by FTT. All microvascular FTTs were performed at Yale-New Haven Hospital between November 2001 and August 2007. The Unilink coupling device was used to perform arterial and venous anastomosis in this case series. Flap survival and thrombosis of the venous anastomoses were determined. RESULTS: One hundred thirty-four consecutive patients underwent a total of 137 microvascular FTTs using a coupling device. In our series, a total of 173 end-to-side anastomoses were completed in 96 patients. Of these, 77 patients had both venous anastomoses, 17 underwent one end-to-side and one end-to-end anastomoses, and two patients had one venous anastomosis per patient performed in end-to-side fashion. Reconstruction included 76 radial forearm, 17 fibula, and three rectus abdominis free flaps. There were three vascular insufficiency related complications of which two were salvageable. There was one case of flap failure (1%), resulting in a free flap survival rate of 99%. CONCLUSION: This largest reported series of end-to-side venous anastomoses with an anastomotic coupling device demonstrates feasibility and efficacy of this technique in head and neck reconstruction.
机译：目的：本研究的目的是证明在头颈部重建中接受自由组织转移（FTT）的患者中，使用端对端静脉吻合的耦合装置的成功率。方法和措施：回顾性分析了134例接受头颈部肿瘤手术切除再行FTT手术的患者。在2001年11月至2007年8月之间，所有微血管FTT均在耶鲁-纽黑文医院进行。在此病例系列中，使用Unilink耦合装置进行动脉和静脉吻合。确定了瓣吻合的皮瓣存活和血栓形成。结果：使用耦合装置对134例连续患者进行了总共137次微血管FTT。在我们的系列中，共有173例端到端吻合术完成了96例患者。在这些患者中，有77例同时有静脉吻合，其中17例接受了端对端和1例进行了端对端吻合，每例患者中有2例接受了端对端方式的静脉吻合。重建包括76个radial骨前臂，17个腓骨和三个腹直肌游离皮瓣。有3种与血管供血不足有关的并发症，其中2种是可挽救的。有1例皮瓣衰竭（1％），导致游离皮瓣存活率为99％。结论：这个最大的报道了一系列带有吻合装置的端到端静脉吻合术证明了该技术在头颈部重建中的可行性和有效性。

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