Titre du document / Document title

Venous valves in the neck : Implications for microvascular free flap reconstruction

Auteur(s) / Author(s)

EDMONDS J. L. ⁽¹⁾ ; WOODROOF J. M. ⁽²⁾ ; GIROD D. A. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, ETATS-UNIS
⁽²⁾ Department of Pathology, University of Kansas School of Medicine, Kansas City, ETATS-UNIS
Kansas City Veterans Affairs Medical Center, ETATS-UNIS

Résumé / Abstract

Successful microvascular free flap reconstruction requires adequate arterial inflow and venous outflow. We report 4 cases that demonstrate the not uncommon occurrence of locating valves in veins during microvascular head and neck reconstructive procedures. Failure to recognize these valves could have compromised the venous anastomosis. The anatomical literature states that veins in the head and neck lack valves, allowing bidirectional blood flow. As a result, there is potential significant flexibility in the selection of recipient veins for the microvascular anastomosis during free flap reconstruction. The unrecognized presence of a venous valve, however, could cause thrombosis of the venous anastomosis and, ultimately, flap failure. This report of venous valves should speak caution to the head and neck microvascular surgeon when he or she is selecting recipient veins in the neck.

Revue / Journal Title

Archives of otolaryngology, head & neck surgery   ISSN 0886-4470   CODEN AONSEJ 

Source / Source

Congrès
Annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Washington, DC , ETATS-UNIS (26/09/1996)
1999, vol. 125, n^o10, pp. 1151-1153 (5 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Medical Association, Chicago, IL, ETATS-UNIS  (1986) (Revue)

Mots-clés anglais / English Keywords

Reconstruction ; Head and neck ; Microsurgery ; Free flap ; Valve(biology) ; Vein ; Recommendation ; Topography ; Treatment ; Human ; Plastic surgery ; Surgery ;

Mots-clés français / French Keywords

Reconstruction ; Tête cou ; Microchirurgie ; Lambeau libre ; Valve(biologie) ; Veine ; Recommandation ; Topographie ; Traitement ; Homme ; Chirurgie plastique ; Chirurgie ;

Mots-clés espagnols / Spanish Keywords

Reconstrucción ; Cabeza cuello ; Microcirugía ; Colgajo libre ; Válvula(biología) ; Vena ; Recomendación ; Topografía ; Tratamiento ; Hombre ; Cirugía plástica ; Cirugía ;

Localisation / Location

INIST-CNRS, Cote INIST : 3041, 35400008795719.0120