Free Flap Survival Despite Internal Jugular Vein Thrombosis in Head and Neck Reconstruction

Plastic and Reconstructive Surgery. Global Open
Koichiro KiyaK Hosokawa

Abstract

Microvascular free tissue transfer is one of the most common techniques of reconstruction for complex head and neck surgical defects. Generally, venous thrombosis is more likely to occur than arterial thrombosis in vascular anastomosis. Thus, recipient veins must be chosen carefully. Although the internal jugular vein is preferred as a recipient vein by many microsurgeons, internal jugular vein thrombosis is a potential complication, as shown in our report. Therefore, we consider that the external jugular vein still is an option as a recipient for venous anastomosis and that it is better to perform multiple vein anastomoses with 2 different venous systems, such as the internal and external jugular systems, than anastomoses within the same venous system.

References

Sep 26, 1997·Archives of Otolaryngology--head & Neck Surgery·H A QuraishiS M Rodman
Sep 18, 2002·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Johnny CappielloPiero Nicolai
Nov 20, 2002·Annals of Plastic Surgery·Tateki KuboKo Hosokawa
May 2, 2009·Head & Neck·David O FrancisNeal D Futran
Nov 26, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Man Ki ChungHan-Sin Jeong

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