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Effectiveness of the trapezius vein in the reconstruction of intraoral defects with bare neck

Authors
 Dong Won Lee  ;  In Sik Yun  ;  Dong Kyun Rah  ;  Young Woo Cheon  ;  Hye Yeon Lee  ;  Won Jai Lee 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.21(5) : 1423-1427, 2010 
Journal Title
JOURNAL OF CRANIOFACIAL SURGERY
ISSN
 1049-2275 
Issue Date
2010
MeSH
Adult ; Aged ; Cadaver ; Female ; Head and Neck Neoplasms/surgery* ; Humans ; Male ; Middle Aged ; Muscle, Skeletal/transplantation ; Neck Dissection ; Neck Muscles/blood supply* ; Neck Muscles/surgery ; Reconstructive Surgical Procedures/methods* ; Retrospective Studies ; Surgical Flaps/blood supply* ; Treatment Outcome
Keywords
Transverse cervical artery ; transverse cervical vein ; recipient vein ; head and neck reconstruction
Abstract
In head and neck cancer reconstruction, the transverse cervical artery is a good alternative vessel when the appropriate recipient vessels cannot be identified because of preoperative radiation and radical neck dissection. Selecting the appropriate recipient vein is essential for a successful intraoral reconstruction. We attempted to determine which veins are candidate partners of the transverse cervical artery by anatomically examining 10 necks (2 sides of the neck in 5 cadavers) in a cadaver study. Three types of veins (suprascapular vein, transverse cervical vein, and descending vein from the trapezius muscle) were selected as recipient vein candidates, and the characteristics of each vein were analyzed. Clinically, we also examined which vessels were chosen as recipient veins in 13 patients in whom intraoral reconstruction with bare neck was performed using the transverse cervical artery as recipient. The descending vein from the trapezius muscles (trapezius vein) was used most frequently, followed by the transverse cervical vein. The transverse cervical vein could be considered an appropriate recipient vein, but it is prone to damage from neck dissection in some cases. Therefore, the use of the trapezius vein can aid in the successful reconstruction in such patients
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201009000-00025&LSLINK=80&D=ovft
DOI
10.1097/SCS.0b013e3181ec69d4
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anatomy (해부학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Rah, Dong Kyun(나동균)
Yun, In Sik(윤인식) ORCID logo https://orcid.org/0000-0003-1103-7047
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
Lee, Hye Yeon(이혜연) ORCID logo https://orcid.org/0000-0001-6945-1967
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103219
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