Comparison of end-to-end and end-to-side venous anastomosis in free-tissue transfer following resection of head and neck tumors
✍ Scribed by Kazuki Ueda; Kiyonori Harii; Takashi Nakatsuka; Hirotaka Asato; Atsushi Yamada
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 344 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
A comparative study was conducted of the results of venous end-to-end and end-to-side anastomosis in 948 clinical cases of microvascular free-tissue transfers for head and neck reconstruction following tumor resection. End-to-side anastomosis to the internal jugular vein was achieved uneventfully in the present series, while a variety of recipient veins was used for end-to-end anastomosis. The incidence of thrombosis was 1.8% (15/835) in the end-to-end anastomosis group and 2.7% (3/113) in end-to-side venous anastomosis. No statistical difference was observed between the two groups. One may hesitate to perform end-to-side anastomosis because of unfamiliarity, concern over technical difficulty, and unreliability. As a result of our statistical analysis, we are convinced that end-to-side anastomosis directly to the internal jugular vein, whenever available, is the preferred procedure in microvascular free-tissue transfers for reconstruction of the head and neck following tumor resection.