Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery

BACKGROUND: The use of coupler devices has become mainstream in microsurgical end-to-end venous anastomoses (EEA) for free flaps in head and neck reconstruction. Reports about end-to-side venous anastomoses (ESA) using a coupler are scarce, though. METHODS: The surgical technique of end-to-side anas...

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Autores principales: Kisser, Ulrich, Koepernik, Sophie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
How I do it
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477101/
https://www.ncbi.nlm.nih.gov/pubmed/37528315
http://dx.doi.org/10.1007/s00405-023-08136-0
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author Kisser, Ulrich
Koepernik, Sophie
author_facet Kisser, Ulrich
Koepernik, Sophie
author_sort Kisser, Ulrich
collection PubMed
description BACKGROUND: The use of coupler devices has become mainstream in microsurgical end-to-end venous anastomoses (EEA) for free flaps in head and neck reconstruction. Reports about end-to-side venous anastomoses (ESA) using a coupler are scarce, though. METHODS: The surgical technique of end-to-side anastomosis using a coupler device is described. End-to-side anastomoses and end-to-end anastomoses with a vascular coupler are compared with respect to postoperative vascular complications. RESULTS: 124 patients were included, 76 with EEA, 48 with ESA. Postoperative venous complications occurred in 5.3% and 2.1%, respectively. CONCLUSIONS: ESA is a valuable alternative to EEA when using a coupler device providing more flexibility to the surgeon. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00405-023-08136-0.
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spelling pubmed-104771012023-09-06 Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery Kisser, Ulrich Koepernik, Sophie Eur Arch Otorhinolaryngol How I do it BACKGROUND: The use of coupler devices has become mainstream in microsurgical end-to-end venous anastomoses (EEA) for free flaps in head and neck reconstruction. Reports about end-to-side venous anastomoses (ESA) using a coupler are scarce, though. METHODS: The surgical technique of end-to-side anastomosis using a coupler device is described. End-to-side anastomoses and end-to-end anastomoses with a vascular coupler are compared with respect to postoperative vascular complications. RESULTS: 124 patients were included, 76 with EEA, 48 with ESA. Postoperative venous complications occurred in 5.3% and 2.1%, respectively. CONCLUSIONS: ESA is a valuable alternative to EEA when using a coupler device providing more flexibility to the surgeon. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00405-023-08136-0. Springer Berlin Heidelberg 2023-08-01 2023 /pmc/articles/PMC10477101/ /pubmed/37528315 http://dx.doi.org/10.1007/s00405-023-08136-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I do it
Kisser, Ulrich
Koepernik, Sophie
Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
title Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
title_full Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
title_fullStr Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
title_full_unstemmed Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
title_short Microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
title_sort microvascular anastomotic coupler for venous end-to-side anastomoses in head and neck reconstructive surgery
topic How I do it
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477101/
https://www.ncbi.nlm.nih.gov/pubmed/37528315
http://dx.doi.org/10.1007/s00405-023-08136-0
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