Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Classification of microvascular anastomosis in oral and maxillofacial reconstruction

구강악안면 재건을 위한 미세혈관 문합술의 종류

  • Lee, Jung-A (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University) ;
  • Kang, Ji-Young (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University) ;
  • Eo, Mi-Young (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University) ;
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, Dental research institute, School of Dentistry, Seoul National University)
  • 이정아 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소) ;
  • 강지영 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소) ;
  • 어미영 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소) ;
  • 명훈 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소) ;
  • 김명진 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소) ;
  • 이종호 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소) ;
  • 김성민 (서울대학교 치의학대학원 구강악안면외과학교실, 치의학연구소)
  • Received : 2011.04.11
  • Accepted : 2011.07.25
  • Published : 2011.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

A reconstruction following a resection of malignant oral cavity tumors is one of the most difficult problems in recent oral oncology. For a better understanding of oral and maxillofacial reconstructive procedures, basic and advanced microvascular anastomosis techniques must be learned and memorized. The aim of this article was to clarify and define the microvascular anastomosis methods, such as primary closure after an arteriotomy, end to side anastomosis, end to end anastomosis, and side to side anastomosis with an artery and vein. This review article discusses the basic skills regarding microvascular anastomoses with brief schematic diagrams in the Korean language. This article is expected to be helpful, particularly to young doctors in the course of the Korean national board curriculum periods for oral and maxillofacial surgery.

Keywords

References

  1. Yasagil MG. Reconstructive and constructive surgery of the cerebrovascular arteries in man. In: Yasagil MG, ed. Microsurgery Applied to Neurosurgery. Stuttgart: Georg Thieme; 1969:82-119.
  2. Chang CH, Choi BY. Characteristics of training materials for successful microvascular anastomosis and preclinical assessment of the surgical skills. Korean J Cerebrovasc Surg 2007;9:243-6.
  3. Lee KS, Suh JD, Han SB, Lee SJ, Choi IC, Kim IS, et al. The effect of aspirin and prostaglandin E1 on the patency of microvascular anastomosis in rat. Korean J Microsurg 2000;9:179-85.
  4. Joo YH, Sun DI, Park JO, Cho KJ, Seo JH, Park JW, et al. Analysis of recipient vessel for microvascular reconstruction of the head and neck. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:20-3. https://doi.org/10.3342/kjorl-hns.2010.53.1.20
  5. Kim SM, Seo MH, Kang JY, Eo MY, Myoung H, Lee SK, et al. Anatomical review of radial forearm free flap for the oral cavity reconstruction. J Korean Assoc Maxillofac Plast Reconstr Surg 2011;33:95-101.
  6. Hoballah JJ. Vascular reconstructions; anatomy, exposures, and techniques. New York: Springer; 2000:17-26.
  7. Hoballah JJ, Eid GM, Nazzal MM, Sharp WJ, Corson JD. Contralateral internal jugular vein interposition for salvage of a functioning arteriovenous fistula. Ann Vasc Surg 2000;14:679-82. https://doi.org/10.1007/s100169910122
  8. Rutherford RB. Atlas of vascular surgery: basic techniques and exposures. Philadelphia: Saunders; 1993:48-9.
  9. Pinheiro AL, Castro JF, Thiers FA, Cavalcanti ET, Rego TI, de Quevedo AS. Using Novafil : would in make suturing easier? Braz Dent J 1997;8:21-5.
  10. Kirklin JW, Barratt-Boyes BG. Ischemic heart disease. In: Kirklin JW, Barratt-Boyes BG , eds. Cardiac surgery. 2nd ed. New York: Churchill-Livingstone; 1993:309.
  11. Carrel A. The operative technique of vascular anastomoses and the transplantation of viscera. Med Lyon 1902;98:859.
  12. Nakayama K, Yamamoto K, Tamiya T, Makino H, Odaka M, Ohwada M, et al. Experience with free autografts of the bowel with a new venous anastomosis apparatus. Surgery 1964;55:796-802.
  13. Sotturai VS, Batson RC. Use of nonreversed, translocated saphenous vein graft. In: Bergean JJ, Yao JST, eds. Techniques in arterial surgery. Philadelphia:Saunders, 1990:184-91.
  14. Taylor LM, Porter JM. Technique of reversed vein bypass to distal leg arteries. In: Bergean JJ, Yao JST. eds. Techniques in arterial surgery. Philadelphia:Saunders, 1990:109-121.
  15. Bergan JJ, Veith FJ, Bernhard VM, Yao JS, Flinn WR, Gupta SK, et al. Randomization of autogenous vein and polytetrafluoroethylene grafts in femoral-distal reconstructions. Surgery 1982;92:921-30.
  16. Bush HL Jr, Nabseth DC, Curl GR, O'Hara ET, Johnson WC, Vollman RW. In situ saphenous vein bypass grafts for limb salvage. A current fad or a viable alternative to reversed vein bypass grafts? Am J Surg 1985;149:477-80. https://doi.org/10.1016/S0002-9610(85)80043-X
  17. De Bakey ME, Crawford ES, Morris GC Jr, Cooley DA. Patch graft angioplasty in vascular surgery. J Cardiovasc Surg 1962;3:106-41.
  18. Fillinger MF, Kerns DB, Bruch D, Reinitz ER, Schwartz RA. Does the end-to-end venous anastomosis offer a functional advantage over the end-to-side venous anastomosis in high-output arteriovenous grafts? J Vasc Surg 1990;12:676-88. https://doi.org/10.1067/mva.1990.24914
  19. Yamamoto Y, Nohira K, Kuwahara H, Sekido M, Furukawa H, Sugihara T. Superiority of end-to-side anastomosis with the internal jugular vein: the experience of 80 cases in head and neck microsurgical reconstruction. Br J Plast Surg 1999;52:88-91. https://doi.org/10.1054/bjps.1998.3037
  20. Ueda K, Harii K, Nakatsuka T, Asato H, Yamada A. Comparison of end-to-end and end-to-side venous anastomosis in free-tissue transfer following resection of head and neck tumors. Microsurgery 1996;17:146-9. https://doi.org/10.1002/(SICI)1098-2752(1996)17:3<146::AID-MICR9>3.0.CO;2-K
  21. Khouri RK. Avoiding free flap failure. Clin Plast Surg 1992;19:773-81.
  22. Khouri RK, Cooley BC, Kunselman AR, Landis JR, Yeramian P, Ingram D, et al. A prospective study of microvascular free-flap surgery and outcome. Plast Reconstr Surg 1998;102:711-21. https://doi.org/10.1097/00006534-199809030-00015
  23. Kanoh N, Dai CF, Ikeda N, Mimura O. Parameters for the preoperative evaluation of arteriosclerosis for free-flap transfers in head and neck surgery. Clin Otolaryngol Allied Sci 2000;25:135-8. https://doi.org/10.1046/j.1365-2273.2000.00343.x
  24. Biemer E, Stock W, Wolfensberger C, Ingianni G, Gotz WD. Successful replantation of a totally avulsed scalp. Br J Plast Surg 1979;32:19-21. https://doi.org/10.1016/0007-1226(79)90054-7
  25. Holtje WJ. Successful replantation of an amputated upper lip. Plast Reconstr Surg 1984;73:664-70. https://doi.org/10.1097/00006534-198404000-00027
  26. Mutimer KL, Banis JC, Upton J. Microsurgical reattachment of totally amputated ears. Plast Reconstr Surg 1987;79:535-41. https://doi.org/10.1097/00006534-198704000-00003
  27. Kim JS, Choi TH, Kim NG, Lee KS, Han KH, Son DG, et al. The replantation of an amputated tongue by supermicrosurgery. J Plast Reconstr Aesthet Surg 2007;60:1152-55. https://doi.org/10.1016/j.bjps.2007.01.009
  28. Sinna R, Boloorchi A, Mahajan AL, Qassemyar Q, Robbe M. What should define a "perforator flap?" Plast Reconstr Surg 2010;126: 2258-63. https://doi.org/10.1097/PRS.0b013e3181f61824