Open AccessReversed‐Flow Superior Thyroid Artery: An Alternative Recipient Vessel in Head and Neck Reconstruction
Author(s) -
Huang ShuHung,
Wu ShengHua,
Wang WenHer,
Cheen MauChang,
Lai ChengSheng,
Lin SinDaw,
Chang KaoPing
Publication year - 2008
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70021-x
Subject(s) - medicine , superior thyroid artery , anastomosis , surgery , head and neck , free flap , artery , thyroid , radiology
In neoadjuvant intra‐arterial infusion chemotherapy patients, the common recipient arteries are frequently damaged owing to preoperative chemotherapy‐induced intima injury. When ante‐grade arterial inflow to the free flap is not available, end‐to‐side carotid arterial anastomosis or exploration of another recipient artery may be an appropriate solution. However, reversed arterial flow is an alternative to such a situation. We report a case with squamous cell carcinoma on the right buccal area, which was successfully reconstructed using a free anterolateral thigh flap with reverse superior thyroid arterial inflow. This alternative method might shorten the operation time and also reduce further exploration injury in the operation field.