Presented at the Triological Society Combined Spring Meetings, Las Vegas, Nevada, April 28–May 2, 2010.
Facial Plastics/Reconstructive Surgery
Article first published online: 23 MAR 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 4, pages 707–711, April 2011
How to Cite
Furr, M. C., Cannady, S. and Wax, M. K. (2011), Interposition vein grafts in microvascular head and neck reconstruction. The Laryngoscope, 121: 707–711. doi: 10.1002/lary.21353
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 23 MAR 2011
- Article first published online: 23 MAR 2011
- Manuscript Accepted: 31 AUG 2010
- vein graft;
- free flap;
- head and neck reconstruction;
- Level of Evidence: 4
To understand when interposition vein grafting may be needed in head and neck reconstruction and become familiar with the factors associated with use of interposition grafts and their effect on free flap survival.
Descriptive case-series design in a tertiary referral center.
Charts were reviewed in patients undergoing interposition vein grafts for microvascular reconstruction of head and neck defects between August 1998 and February 2009.
In a 10-year period, interposition vein grafts were used in 20 free tissue transfers, representing 1.7% of all microvascular reconstruction cases (n = 1,143). Seventy percent of vein grafts were used in cases of secondary reconstruction or prior radiotherapy. Free flap survival in the interposition vein graft group was 95%, compared with 96% overall flap survival.
Interposition vein grafts are used most often in cases involving a threatened flap, prior free flap, flap failure or radiation, and tumor recurrence. The use of interposition vein grafting in microvascular reconstruction is not associated with decreased flap survival. Laryngoscope, 2011