Results of contralateral anastomosis of microvascular free flaps in head and neck reconstruction Article Swipe
Juliane D. Gschossmann
,
Matthias Balk
,
Robin Rupp
,
Sarina Müller
,
Moritz Allner
,
Matti Sievert
,
Konstantinos Mantsopoulos
,
Michael Koch
,
Heinrich Iro
,
Antoniu‐Oreste Gostian
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1177/01455613221112338
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1177/01455613221112338
Objectives Despite various solutions to the issue of ipsilateral vessel-depleted neck in microvascular head and neck reconstruction, concrete data on its safety and implementation are scarce. This paper focuses on the feasibility and success rates of contralateral anastomosis in free flap reconstruction in the head and neck region. Methods This single-center retrospective study at a tertiary referral center includes all patients who underwent free flap reconstruction of the head and neck with contralateral anastomosis between January 1st, 2007 and February 28th, 2021. Primary objectives were frequency, success, and flap-associated complication rates. Secondary objectives were recipient vessels and flap type. Results Of 318 patients who underwent microvascular reconstruction, anastomosis was performed on the contralateral side of the neck in 32 patients (10.0%). Recipient vessels involved mainly the superior thyroid artery (74.2%; n = 23) and the facial vein (51.1%; n = 23). Thirty patients (93.8%) received a radial forearm free flap. Flap-associated complications occurred in 12.5% of included cases (n = 4): one partial flap necrosis (3.1%), one anastomotic insufficiency (3.1%), one venous thrombosis of the microvascular pedicle (3.1%), and one wound dehiscence (3.1%). All of these complications were resolved without complete flap loss. Conclusion This study demonstrates that contralateral anastomosis is a successful and safe option in microvascular head and neck reconstruction, especially using a radial forearm free flap. Thus, anastomosing to the contralateral side of the neck can be advocated as a valuable option in the ipsilateral vessel-depleted neck.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/01455613221112338
- OA Status
- gold
- Cited By
- 10
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4283784309
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283784309Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/01455613221112338Digital Object Identifier
- Title
-
Results of contralateral anastomosis of microvascular free flaps in head and neck reconstructionWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-07-02Full publication date if available
- Authors
-
Juliane D. Gschossmann, Matthias Balk, Robin Rupp, Sarina Müller, Moritz Allner, Matti Sievert, Konstantinos Mantsopoulos, Michael Koch, Heinrich Iro, Antoniu‐Oreste GostianList of authors in order
- Landing page
-
https://doi.org/10.1177/01455613221112338Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1177/01455613221112338Direct OA link when available
- Concepts
-
Medicine, Surgery, Anastomosis, Free flap, Superior thyroid artery, Dehiscence, Head and neck, Microsurgery, Radial artery, Vein, Artery, Thyroid, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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10Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 2, 2023: 4Per-year citation counts (last 5 years)
- References (count)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.microvascular | 12, 105, 175, 207 |
| abstract_inverted_index.retrospective | 51 |
| abstract_inverted_index.single-center | 50 |
| abstract_inverted_index.implementation | 23 |
| abstract_inverted_index.reconstruction | 41, 65 |
| abstract_inverted_index.Flap-associated | 150 |
| abstract_inverted_index.flap-associated | 88 |
| abstract_inverted_index.reconstruction, | 16, 106, 211 |
| abstract_inverted_index.vessel-depleted | 9, 238 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 94 |
| corresponding_author_ids | https://openalex.org/A5007905939 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I181369854 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.87929267 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |