[Radial free flap with drainage through the cephalic vein dissected up to the deltoid region: a resource in the absence of receptor veins].
Repeated treatments on the neck in head and neck oncological patients make more and more difficult to elaborate microvascularized flaps because sometimes it is necessary to sacrifice receptor veins. In this paper it is showed one way of solving this problem, by dissection of the cephalic vein towards the deltoid region, keeping the venous pedicle intact. In this fashion venous anastomosis is avoided, getting efficient blood drainage. Simplicity and efficiency of this technique make possible thinking about it even with existing receptors veins. The main inconvenience is the surgical scare on the anterior region of the arm.
Zapater
E
E
Servicio de ORL, Instituto Valenciano de Oncología, Valencia. ezapater@ctv.es
Simón
E
E
Ferrandis
E
E
Vendrell
J B
JB
D001132:Arm / Q000098:blood supply; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D008833:Microcirculation; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D014680:Veins / Q000502:physiology / Q000601:surgery