II-Y–Shaped Vascular Anastomosis for Free Flap Transfer in Head and Neck Reconstruction in Vessel-Depleted Neck

Cheng, Miao; Ma, Zhongkai; Li, Chunjie

doi:10.1097/scs.0000000000009007

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…They employed the innovative II-Y-shaped technique for the crucial vascular anastomosis, known for its effectiveness in vessel-depleted areas. This technique proved to be an efficient way of adapting to the limited vessel diameters caused by previous surgeries and radiotherapy [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature

Mohammadi,

Taghizadeh Mortezaei,

Abdollahi

et al. 2023

J Med Case Reports

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Background Lower lip squamous cell carcinoma is a significant subtype of head and neck cancer, constituting about 25–30% of cases. Traditional surgical methods, like primary closure, have limitations in managing large resections of lip tumors. Recent advancements in surgical techniques, particularly free flaps, have shown promising results in addressing these challenges. The Y-shaped anastomosis is an innovative approach aimed at enhancing the efficiency of microvascular free flap surgeries for improved lip cancer reconstruction outcomes. Case presentation A 77-year-old Persian male with lower lip squamous cell carcinoma underwent tumor resection with a 2 cm safety margin, bilateral neck dissection, and lip reconstruction using the right radial forearm free flap. The surgery incorporated a Y-shaped anastomosis to improve venous pedicle outcomes. Conclusion In this case, it was decided not to open the first anastomosis but to add the second end to the side one to provide two vascular supports for the venous anastomosis. Y anastomosis makes the surgery easier and decreases complications resulting from vascular size mismatch.

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Section: Discussionmentioning

confidence: 99%