Your browser doesn't support javascript.
loading
Superficial temporal recipient vessels in microvascular orbit and scalp reconstruction of oncologic defects.
Halvorson, Eric G; Cordeiro, Peter G; Disa, Joseph J; Wallin, Elizabeth F; Mehrara, Babak J.
Afiliación
  • Halvorson EG; Plastic & Reconstructive Surgery, University of North Carolina, Chapel Hill, NC, USA.
J Reconstr Microsurg ; 25(6): 383-7, 2009 Jul.
Article en En | MEDLINE | ID: mdl-19391089
ABSTRACT
The superficial temporal artery and vein (STA/V) are often considered suboptimal recipient vessels due to anecdotal reports that they are unreliable and prone to spasm. This is unfortunate, as their position greatly facilitates reconstruction of the scalp and orbit. We present our experience with 28 patients who underwent microvascular craniofacial reconstruction of oncological defects using the STA/V as recipients over a 4-year period at a single institution. Rates of vessel thrombosis, total flap loss, and partial flap loss were not significantly different from 282 flaps anastomosed to neck vessels. With knowledge of the anatomy and proper technique, the STA/V are reliable and available in most patients and can facilitate microvascular orbit and scalp reconstruction. The proximity they offer allows more flexibility in flap pedicle length requirement and avoids the use of vein grafts. Caution should be exercised if there is a history of radiation therapy.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Carcinoma de Células Escamosas / Neoplasias de Cabeza y Cuello Límite: Humans Idioma: En Revista: J Reconstr Microsurg Asunto de la revista: NEUROCIRURGIA Año: 2009 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Carcinoma de Células Escamosas / Neoplasias de Cabeza y Cuello Límite: Humans Idioma: En Revista: J Reconstr Microsurg Asunto de la revista: NEUROCIRURGIA Año: 2009 Tipo del documento: Article País de afiliación: Estados Unidos