Management for Flap Necrosis in Free Microvascular Tissue Transfers

概要

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In the cases of arteriosclelosis, post-radical radiotherapy and without good arteries to anastomose because of re-operation, it is possible to occur flap necrosis in free microvascular tissue transfers. It is very important to select artery with good flow and to anastomose intima precisely. On the one hand, most of the venous thrombus is mainly due to a twist, to be oppresssed by surrounding tissue and setting of indwelling drain. Furthermore, to be improved success rate for free tissue transfers, main technique we introduced is internal jugular vein end-to-side anastomosis, anticoagulative therapy and carotid artery end-to-side anastomosis. As a result, we succeeded in expanding indication for difficult cases of microvascular anastomosis.
特定非営利活動法人日本頭頸部外科学会の論文