Interposition vein grafts in microvascular head and neck reconstruction

Maxwell C. Furr, Steven Cannady, Mark Wax

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objectives/Hypothesis: To understand when interposition vein grafting may be needed in head and neck reconstruction and become familiar with the factors associated with use of interposition grafts and their effect on free flap survival. Study Design: Descriptive case-series design in a tertiary referral center. Methods: Charts were reviewed in patients undergoing interposition vein grafts for microvascular reconstruction of head and neck defects between August 1998 and February 2009. Results: In a 10-year period, interposition vein grafts were used in 20 free tissue transfers, representing 1.7% of all microvascular reconstruction cases (n = 1,143). Seventy percent of vein grafts were used in cases of secondary reconstruction or prior radiotherapy. Free flap survival in the interposition vein graft group was 95%, compared with 96% overall flap survival. Conclusions: Interposition vein grafts are used most often in cases involving a threatened flap, prior free flap, flap failure or radiation, and tumor recurrence. The use of interposition vein grafting in microvascular reconstruction is not associated with decreased flap survival.

Original languageEnglish (US)
Pages (from-to)707-711
Number of pages5
JournalLaryngoscope
Volume121
Issue number4
DOIs
StatePublished - Apr 2011

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Veins
Neck
Head
Transplants
Free Tissue Flaps
Survival
Tertiary Care Centers
Radiotherapy
Radiation
Recurrence
Neoplasms

Keywords

  • free flap
  • head and neck reconstruction.
  • Microvascular
  • vein graft

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Interposition vein grafts in microvascular head and neck reconstruction. / Furr, Maxwell C.; Cannady, Steven; Wax, Mark.

In: Laryngoscope, Vol. 121, No. 4, 04.2011, p. 707-711.

Research output: Contribution to journalArticle

Furr, Maxwell C. ; Cannady, Steven ; Wax, Mark. / Interposition vein grafts in microvascular head and neck reconstruction. In: Laryngoscope. 2011 ; Vol. 121, No. 4. pp. 707-711.
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