Survival of a free jejunal flap with venous occlusion.
The jejunum offers numerous advantages for reconstruction compared with other methods, despite transplantation; however, total necrosis occasionally occurs in a jejunal flap caused by vascular thrombosis and loss of axial blood supply. Survival of a free jejunal flap after interruption of the vascular pedicle is rare. We report the survival of a free jejunal flap, despite venous occlusion, at 5 weeks after the procedure. This may indicate that venous neovascularization of a free jejunal flap is complete within 5 weeks after the operation.
Hirano
Takashi
T
Department of Otolaryngology, Faculty of Medicine, Oita University, Oita, Japan.
Fujita
Keigo
K
Kodama
Satoru
S
Takeno
Shinsuke
S
Suzuki
Masashi
M
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006085:Graft Survival / Q000502:physiology*; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D007601:Jugular Veins; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods; D008297:Male; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000628:therapy; D013964:Thyroid Neoplasms / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014654:Vascular Patency; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000473:pathology