International Journal of Oral and Maxillofacial Surgery
Clinical PaperReconstructive SurgeryUse of a microvascular coupler device for end-to-side venous anastomosis in oral and maxillofacial reconstruction
Section snippets
Materials and methods
The cases of 62 patients treated between October 2013 and September 2017 were reviewed. All patients had undergone head and neck reconstruction following malignant tumour ablation at the Department of Oral and Maxillofacial Surgery, Xiangya Hospital of Central South University. All surgeries were performed by one surgeon (LH) with team members. The study protocol was approved by the Medical Ethics Committee of Xiangya Hospital of Central South University and the study was performed in
Results
Table 1 reports the clinical data of the patients included in this study. Single vessel anastomoses with the MCD were performed in all patients. The MCD was used for ETS venous anastomosis in 22 cases (ETS group), and the MCD was used for ETE venous anastomosis following phleboplasties in 40 cases (ETE group). ETS venous anastomosis with MCD was performed in three fibula flaps, five radial forearm flaps, and 14 anterolateral thigh flaps, while ETE venous anastomosis with MCD after
Discussion
Over the past 20 years, use of the MCD has gradually become the mainstream for venous anastomoses in head and neck and breast reconstruction1. Several studies have shown that use of the MCD is an adequate alternative to hand-sewn techniques, because use of the MCD is less technically challenging and it decreases the anastomosis time and thrombosis rate2, 5, 10. Rickard et al.8, 11 and Wain et al.12 investigated differences in the intravascular blood flow between MCD anastomoses and sutured
Funding
This study was funded by the National Natural Science Foundation of China (grant number 81702708, 81041052).
Competing interests
None.
Ethical approval
The study protocol was approved by the Medical Ethics Committee of Xiangya Hospital of Central South University and was performed according to the institutional guidelines.
Patient consent
Written patient consent was obtained prior to submission.
References (13)
- et al.
Systematic review: anastomotic microvascular device
J Plast Reconstr Aesthet Surg
(2014) - et al.
The use of venous coupler device in free tissue transfers for oral and maxillofacial reconstruction
J Oral Maxillofac Surg
(2015) - et al.
The microvascular coupler device for end-to-side venous anastomosis in free tissue transfer for head and neck reconstruction
J Plast Reconstr Aesthet Surg
(2014) - et al.
Spatulated end-to-end microvascular anastomosis: a useful technique for overcoming vessel size discrepancy
J Plast Reconstr Aesthet Surg
(2014) - et al.
Experimental investigation of two techniques of arterial microanastomosis used to manage a small-to-large diameter discrepancy
J Plast Reconstr Aesthet Surg
(2011) - et al.
A novel technique of vascular anastomosis to prevent juxta-anastomotic stenosis following arteriovenous fistula creation
J Vasc Surg
(2012)
Cited by (8)
Double Thread Suspension: A Novel Technique to Facilitate End-to-Side Venous Anastomosis With a Microvascular Coupling Device in Head and Neck Reconstruction
2021, Journal of Oral and Maxillofacial SurgeryCitation Excerpt :Each reconstruction was performed by the same primary surgeon (Zhao) and assisted by another primary surgeon (Xiong) under a microscope or loupes. The traditional ETS MACD venous anastomosis was performed according to the manufacturer's instructions and techniques reported previously in the literature,11, 13 and the technical details of double thread suspension technique are as follows. Adequate mobilization.
Meta-analysis of venous anastomosis techniques in free flap reconstruction
2020, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :Ten included studies were retrospective cohorts and 22 were retrospective case series. The studies were conducted in the United States of America,5,6,8,23,25–39 China,40–42 Germany,24,43,44 United Kingdom,22,45 France,46,47 Sweden,48 Japan49 and Taiwan.9 A total of 10,851 patients with a mean age of 35–65 years received 12,769 free flaps (1.18 free flaps per patient) in reconstructive free tissue transfer procedures.
Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
2023, European Archives of Oto-Rhino-LaryngologyEnd-to-side venous anastomosis with a coupler device in microvascular free flaps
2020, Handchirurgie Mikrochirurgie Plastische Chirurgie