- 期刊
Free Flap Salvage Using a Turn-over Cephalic Vein for Thrombosed Internal Jugular Vein in Head & Neck Cancer Reconstruction-A Case Report
以頭靜脈反轉搶救因內頸靜脈栓塞而導致的自由皮瓣靜脈鬱積
摘要
頭頸部腫瘤在切除腫瘤後同時進行功能性頸部淋巴擴清術後，合併內頸靜脈栓塞比例可達15~33%，因此在進行頭頸部癌症重建時若採用內頸靜脈作靜脈吻合，一但發生靜脈栓塞，週邊往往並沒有其他靜脈可以利用，難以及時搶救皮瓣。在此我們提出一個案例，一位43歲男性舌癌患者，接受半舌切除手術、頸部淋巴擴清手術及前臂自由皮瓣重建手術，於術後第四天因內頸靜脈完全栓塞而導致皮瓣靜脈鬱積，在利用同側頭臂靜脈反轉作為靜脈回流後成功的救回了皮瓣。
關鍵字
無資料並列摘要
The thrombosis rate of internal jugular vein following functional neck dissection ranges from 15 to 33%. Use of thrombosed internal jugular vein as a recipient vein in head and neck reconstruction inevitablely leads to flap failure. We report salvage of such a flap using ipsilateral turn-over cephalic vein in a 43-year-old patient undergoing hemiglossectomy, left neck dissection and free radial forearm flap for tongue cancer excision and reconstruction.
延伸閱讀
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