{"title":"Single versus dual venous anastomosis in radial forearm free flaps in head and neck reconstruction.","authors":"Hanjin Ruan, Zhengxue Han","doi":"10.1080/2000656X.2022.2152821","DOIUrl":null,"url":null,"abstract":"<p><p>A retrospective cohort study of 253 radial forearm free flap (RFFF) procedures in head and neck reconstruction performed in our department between 2005 and 2018 was reviewed. In order to explore the effects between single and dual anastomoses, we applied Fisher's exact test for statistical analysis. Although no flap failure was identified, more venous compromises were observed in single anastomosis group (5/80 vs. 1/173). We conclude that dual venous anastomoses can reduce venous compromise resulted from unexpected causes in RFFF transfer. Therefore, we especially recommend dual venous anastomoses for those who cannot withstand a second surgery.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"57 1-6","pages":"434-437"},"PeriodicalIF":1.0000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Plastic Surgery and Hand Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/2000656X.2022.2152821","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
A retrospective cohort study of 253 radial forearm free flap (RFFF) procedures in head and neck reconstruction performed in our department between 2005 and 2018 was reviewed. In order to explore the effects between single and dual anastomoses, we applied Fisher's exact test for statistical analysis. Although no flap failure was identified, more venous compromises were observed in single anastomosis group (5/80 vs. 1/173). We conclude that dual venous anastomoses can reduce venous compromise resulted from unexpected causes in RFFF transfer. Therefore, we especially recommend dual venous anastomoses for those who cannot withstand a second surgery.
回顾了2005年至2018年我科253例桡骨前臂游离皮瓣(RFFF)头颈部重建的回顾性队列研究。为了探讨单吻合术和双吻合术之间的影响，我们采用Fisher精确检验进行统计分析。虽然没有发现皮瓣衰竭，但单一吻合组观察到更多的静脉损伤(5/80 vs 1/173)。我们的结论是，双静脉吻合术可以减少RFFF转移中因意外原因引起的静脉损伤。因此，我们特别推荐双静脉吻合术对那些不能承受第二次手术。
期刊介绍：
The purpose of the Journal of Plastic Surgery and Hand Surgery is to serve as an international forum for plastic surgery, hand surgery and related research. Interest is focused on original articles on basic research and clinical evaluation.
The scope of the journal comprises:
• Articles concerning operative methods and follow-up studies
• Research articles on subjects related to plastic and hand surgery
• Articles on cranio-maxillofacial surgery, including cleft lip and palate surgery.
Extended issues are published occasionally, dealing with special topics such as microvascular surgery, craniofacial surgery, or burns. Supplements, usually doctoral theses, may also be published.
The journal is published for the Acta Chirurgica Scandinavica society and sponsored by the Key Foundation, Sweden.
The journal was previously published as Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery.
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