Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ateriovenous subclavia-shunt for head and neck reconstruction | Head Face Medicine BioMed Central Open Access Case report Ateriovenous subclavia-shunt for head and neck reconstruction Rita A Depprich Christian D Naujoks Ulrich Meyer Norbert R Kubler and Jorg G Handschel Address Heinrich-Heine-University Duesseldorf Department of Cranio- and Maxillofacial Surgery Moorenstr. 5 40225 Duesseldorf Germany Email Rita A Depprich - depprich@ Christian D Naujoks - Ulrich Meyer - Norbert R Kubler - kuebler@ Jorg G Handschel - handschel@ Corresponding author Published 24 November 2008 Head Face Medicine 2008 4 27 doi 1746-160X-4-27 Received 28 May 2008 Accepted 24 NOvember 2008 This article is available from http content 4 1 27 2008 Depprich et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Reconstruction of the facial hard- and soft tissues is of special concern for the rehabilitation of patients especially after ablative tumor surgery has been performed. Impaired soft and hard tissue conditions as a sequelae of extensive surgical resection and or radiotherapy may impede common reconstruction methodes. Even free flaps may not be used without interposition of a vein graft as recipient vessels are not available as a consequence of radical neck dissection. We describe the reconstruction of the facial hard- and soft tissues with a free parasacpular flap in a patient who had received ablative tumor surgery and radical cervical lymphadenectomy as a treatment regimen for squamous cell carcinoma SCC . To replace the missing cervical blood vessels an arteriovenous subclavia-shunt using a saphena magna graft was created. .
