title: The thoracoacromial/cephalic vascular system for microvascular anastomoses in the vessel-depleted neck.
abstract: OBJECTIVE
  To review our experience with use of the thoracoacromial/cephalic (TAC) system in the free flap reconstruction of complicated head and neck defects.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Tertiary care referral center.
  
  
  METHODS
  A consecutive sample of 11 patients requiring free flap reconstruction of head and neck defects using the TAC system for microvascular anastomoses was identified by medical chart review.
  
  
  METHODS
  Free flap reconstruction of complicated defects of the head and neck using the TAC vascular system for microvascular anastomoses.
  
  
  METHODS
  Free flap survival and microvascular thrombosis.
  
  
  RESULTS
  Of 11 patients using TAC anastomoses, all had complete survival of free flaps. No complications related to anastomotic failure were identified.
  
  
  CONCLUSIONS
  The TAC system provides a reliable source of undisturbed vessels when cervical vessels are unusable or absent.
authors.affiliation: Department of Surgery, 2D, University of Alberta, WC Mackenzie Centre, 8440 112 St, Edmonton, Alberta, Canada T6G 2B7. jharris@powersurfr.com
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Harris
authors.forename: E
authors.initials: E
authors.lastname: Lueg
authors.forename: E
authors.initials: E
authors.lastname: Genden
authors.forename: M L
authors.initials: ML
authors.lastname: Urken
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009333:Neck / Q000098:blood supply* / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*