Background: The optimum number of microvascular anastomoses for safe free tissue transfer is controversial. Although the case for 2 venous anastomoses versus 1 anastomosis has been argued, the use of an additional arterial anastomosis has not been examined in detail. Methods: Twelve patients who underwent 2 arterial anastomoses for a free flap transfer were identified retrospectively from the medical records of patients undergoing reconstruction for head and neck cancer. The free flaps were limited to anterolateral thigh (ALT) flaps. Results: All flaps survived. Complications included venous thrombosis (n = 1), reexploration (n = 1), and leakage (n = 3). The vascular patterns of dual-arterialized ALT flaps were classified into 3 groups. Types 1 and 2 were ALT flaps that had 2 vascular sources from the descending and lateral branches of the lateral circumflex femoral artery. The number of accompanying veins differed between type 1 (3 veins) and type 2 (2 veins). Type 3 differed from a conventional ALT flap nourished by the descending branch of the lateral circumflex femoral artery (1 vein) by the addition of anastomosis of an artery branching from the descending branch to the vastus medialis muscle. The total operation times for these 3 types of ALT were similar. Conclusions: An additional arterial anastomosis to the free cutaneous flap did not cause any congestion or disturb the balance between inflow and outflow. If the surgeon considers that the first arterial anastomosis is unreliable, an additional anastomosis might be an option in ALT transfer.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Management of Type I and Type II laryngeal clefts:...
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- Acid–base safety during the course of a very low-c...
- Editorial.
- Management of Type I and Type II laryngeal clefts:...
- The efficacy and safety of a monophasic hyaluronic...
- Editorial.
- Management of Type I and Type II laryngeal clefts:...
- The efficacy and safety of a monophasic hyaluronic...
- Study of the mechanism of remediation of Cd-contam...
- Susceptibility to Dengue Virus and Genetic Polymor...
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- Epidemiology and outcomes of nasopharyngeal carcin...
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- A comparative study of bloodstream infections in a...
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- Stereotactic Body Radiotherapy as an Alternative t...
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- Clinical Implications of Immunoglobulin G4 to Grav...
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- Disease Severity at Presentation in Patients with ...
- Future Meetings
- Idiopathic Low Ovarian Reserve Is Associated with ...
- Intermittent Dosing of Dabrafenib and Trametinib i...
- Clinical Implications of Immunoglobulin G4 to Grav...
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- Salvage brachytherapy for radiorecurrent prostate ...
- The effects of needle damage on annulus fibrosus m...
- Applicability of the grip strength and automated v...
- Processing a glass-forming Zr-based alloy by selec...
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- A study of parametric calibration for low cost 3D ...
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- Reviewing the Evidence to Guide Clinical Care: Pro...
- Nonincisional Conjoint Fascial Sheath Suspension: ...
- Reconstruction of Anterolateral Thigh Defects Usin...
- Does the Use of Acellular Dermal Matrix Increase P...
- Enhancing Nitric Oxide Bioavailability via Exogen ...
- Effect of Exercise Training on the Frequency of Co...
- Teledermatology: Is it Beneficial to Patients?
- Outcomes of Geriatric Burns Treated as Outpatients
- Epineural Sheath Jacket as a New Surgical Techniqu...
- The Crisis of Deficiency in Emergency Coverage for...
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- Ex vivo γH2AX radiation sensitivity assay in prost...
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- Development and optimization of dispersible tablet...
- α-Glucosidase inhibitory activity of selected Mala...
- Oral health status and treatment needs of Gunj mar...
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- Increased risk of osteoporosis in depressive patie...
- Effect of the inclusion nanocomplex formed of tita...
- Glycosides based standardized fenugreek seed extra...
- Developing an integrated treatment pathway for a p...
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