Transverse artery of the neck as an alternative source of revascularization of tissue complexes in reconstructive surgery of the face and neck (clinical experimental study)
Abstract
One of the most difficult issues in microsurgical
autotransplantation of maxillofacial tissues is the choice of recipient vessels
for safe revascularization of flaps in cases of severe scar tissue deformations
from previous operations, extensive lymphodissection with ligation of the
external carotid artery, and radiation fibrosis, which makes secondary
reconstructions of maxillofacial tissues practically impossible.
The purpose of our work: to study the topographical
and anatomical features of the external triangle of the neck with the
development of access to the transverse artery of the neck.
A total of 30 unfixed corpses aged 62 to 85 years were
examined with the study of topographic and anatomical features of the
transverse artery of the neck from the pool of the thyroid trunk.
During the period from 2017 to 2019, a total of 6
autotransplantation of tissue complexes with alternative revascularization
through the transverse artery was performed.
The transverse artery of the neck and the thyroid
trunk basin is a reliable and safe source for arterial revascularization,
located below and laterally to the external carotid artery and less susceptible
to atherosclerotic, post-radiation and scar changes.
Keywords:recipient vessels, flap revascularization, transverse neck artery, thyroid trunk, arterial neck pool
Funding. The study had no
sponsor support.
Conflict of interest. The authors
declare no conflict of interest.
For citation: Gileva K.S., Verbo
E.V., Smal A.A., Zolotareva A.S. Transverse artery of the neck as an
alternative source of revascularization of tissue complexes in reconstructive
surgery of the face and neck (clinical experimental study). Clinical and
Experimental Surgery. Petrovsky Journal. 2021; 9 (2): 108-16. DOI: https://doi.org/10.33029/2308-1198-2021-9-2-108-116 (in Russian)
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