The application of microvascular anastomotic coupler in vascular anastomosis of free tissue flap for reconstruction of defect after head and neck cancer resection
10.3760/cma.j.issn.1673-0860.2017.09.013
- VernacularTitle: 微血管吻合器在游离组织瓣修复头颈部肿瘤术后缺损中的应用
- Author:
Yuejia ZHANG
1
;
Zhaohui WANG
2
;
Chunhua LI
2
;
Jin CHEN
2
Author Information
1. Graduate School, Guangxi Medical University, Nanning 530021, China (Now Studying in Department of Head and Neck Surgery, Sichuan Cancer Hospital )
2. Department of Head and Neck Surgery, Sichuan Cancer Hospital, Chengdu 610041, China
- Publication Type:Journal Article
- Keywords:
Microvessels;
Surgical flaps;
Free tissue flaps;
Reconstructive surgical procedures;
Microsurgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(9):702-706
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application and operation skills in vein anastomosis by microvascular anastomotic coupler (MAC) in reconstruction of defects after head and neck cancer resection.
Methods:From August 2015 to July 2016, in Department of Head and Neck Surgery, Sichuan Cancer Hosipital, 17 cases underwent the reconstruction of defects after head and neck cancer resection with free tissue flaps, including forearm flaps in 11 casess, anterolateral flaps in 4 casess and fibula flaps in 2 casess. Totally 17 MAC were used, including 14 MAC for end-to-end anastomosis and 3 MAC for end-to-side anastomosis. SPSS 22.0 software was used to analyze the data.
Results:Venous anastomoses in 17 free tissue flaps were successfully completed, with no anastomotic errhysis. All flaps survived well. The time required for vascular anastomoses with MAC varied 2-9 min, with average time of (4.2±2.3) min, which was significantly shorter than that with manually anastomosis (17.4 ± 2.7) min (t=15.1, P<0.01). The followed-up time ranged from 6 to 18 months. The flaps in recipient area healed well. The shape and function of recipient area were satisfying.
Conclusions:Microvascular anastomotic coupler can be used for vessel anastomosis in free tissue flap for reconstruction of defect after head and neck cancer resection, which requires for less operation time and shows good results.
