Corlett loop for microvascular reconstruction in a neck depleted of vessels.
Free tissue transfer has revolutionised reconstruction of the head and neck and there are currently few local factors that preclude its use. These include a lack of suitable recipient vessels in the area for microvascular anastomosis. We describe the use of a Corlett loop in which a temporary arteriovenous fistula (AVF) is created with a transposed cephalic vein to enable reconstruction of a mandibular defect with a fibular free flap.
Ethunandan
M
M
Department of Oral & Maxillofacial Surgery, Odstock Centre for Burns, Plastic and Maxillofacial Surgery, Salisbury District Hospital, Salisbury, Wiltshire SP2 8PJ, United Kingdom. mgethu@hotmail.com
Cole
R
R
Flood
T R
TR
D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D016121:Brachiocephalic Veins / Q000601:surgery*; D002342:Carotid Artery, External / Q000601:surgery*; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery; D008339:Mandibular Neoplasms / Q000534:rehabilitation; D008875:Middle Aged; D009333:Neck / Q000098:blood supply*; D011884:Radius / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*