Head and neck reconstruction in the vessel depleted neck using robot-assisted harvesting of the internal mammary vessels.
Br J Oral Maxillofac Surg
; 61(5): 368-372, 2023 06.
Article
em En
| MEDLINE
| ID: mdl-37246020
ABSTRACT
We report a novel technique of robot-assisted harvesting of the internal mammary vessels to provide effective recipient vessels in a patient with bilateral vessel depleted neck (VDN). A 44-year-old with a Notani grade III osteoradionecrosis (ORN) of the anterior mandible underwent robot-assisted (Da Vinci® Surgical System, Intuitive Surgical) harvesting of the left internal mammary vessels (LIMA, LIMV). Reconstruction of the mandibular defect was done with a virtually planned composite fibular free flap and microvascular anastomosis of the peroneal vessels to the LIMA and LIMV. Successful reconstruction of the anterior mandible was achieved with excellent recipient arterial diameter and length, devoid of any significant thoracic morbidities resulting from robot-assisted harvesting of the internal mammary vessels. Robot-assisted harvesting of internal mammary vessels is a viable alternative to an open approach. The advantages in tissue handling, vessel length, and favourable profile of complications may extend the indications for this otherwise 'niche' solution in the VDN.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Robótica
/
Retalhos de Tecido Biológico
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Br J Oral Maxillofac Surg
Ano de publicação:
2023
Tipo de documento:
Article