Jeffrey R Harris1, E Lueg, E Genden, M L Urken. 1. Department of Surgery, 2D, University of Alberta, WC Mackenzie Centre, 8440 112 St, Edmonton, Alberta, Canada T6G 2B7. jharris@powersurfr.com
Abstract
OBJECTIVE: To review our experience with use of the thoracoacromial/cephalic (TAC) system in the free flap reconstruction of complicated head and neck defects. DESIGN: Case series. SETTING: Tertiary care referral center. POPULATION: A consecutive sample of 11 patients requiring free flap reconstruction of head and neck defects using the TAC system for microvascular anastomoses was identified by medical chart review. INTERVENTION: Free flap reconstruction of complicated defects of the head and neck using the TAC vascular system for microvascular anastomoses. MAIN OUTCOME MEASURES: Free flap survival and microvascular thrombosis. RESULTS: Of 11 patients using TAC anastomoses, all had complete survival of free flaps. No complications related to anastomotic failure were identified. CONCLUSIONS: The TAC system provides a reliable source of undisturbed vessels when cervical vessels are unusable or absent.
OBJECTIVE: To review our experience with use of the thoracoacromial/cephalic (TAC) system in the free flap reconstruction of complicated head and neck defects. DESIGN: Case series. SETTING: Tertiary care referral center. POPULATION: A consecutive sample of 11 patients requiring free flap reconstruction of head and neck defects using the TAC system for microvascular anastomoses was identified by medical chart review. INTERVENTION: Free flap reconstruction of complicated defects of the head and neck using the TAC vascular system for microvascular anastomoses. MAIN OUTCOME MEASURES: Free flap survival and microvascular thrombosis. RESULTS: Of 11 patients using TAC anastomoses, all had complete survival of free flaps. No complications related to anastomotic failure were identified. CONCLUSIONS: The TAC system provides a reliable source of undisturbed vessels when cervical vessels are unusable or absent.
Authors: Guilherme C Barreiro; Chelsea C Snider; Flavio H F Galvão; Rachel R Baptista; Kiril E Kasai; Daniel M Dos Anjos; Marcus C Ferreira Journal: Sci Rep Date: 2017-10-11 Impact factor: 4.379