“Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature
Abstract Background Lower lip squamous cell carcinoma is a significant subtype of head and neck cancer, constituting about 25–30% of cases. Traditional surgical methods, like primary closure, have limitations in managing large resections of lip tumors. Recent advancements in surgical techniques, par...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-023-04177-5 |
| _version_ | 1797415065224216576 |
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| author | Soha Mohammadi Nima Taghizadeh Arash Abdollahi Shabahang Mohammadi |
| author_facet | Soha Mohammadi Nima Taghizadeh Arash Abdollahi Shabahang Mohammadi |
| author_sort | Soha Mohammadi |
| collection | DOAJ |
| description | Abstract Background Lower lip squamous cell carcinoma is a significant subtype of head and neck cancer, constituting about 25–30% of cases. Traditional surgical methods, like primary closure, have limitations in managing large resections of lip tumors. Recent advancements in surgical techniques, particularly free flaps, have shown promising results in addressing these challenges. The Y-shaped anastomosis is an innovative approach aimed at enhancing the efficiency of microvascular free flap surgeries for improved lip cancer reconstruction outcomes. Case presentation A 77-year-old Persian male with lower lip squamous cell carcinoma underwent tumor resection with a 2 cm safety margin, bilateral neck dissection, and lip reconstruction using the right radial forearm free flap. The surgery incorporated a Y-shaped anastomosis to improve venous pedicle outcomes. Conclusion In this case, it was decided not to open the first anastomosis but to add the second end to the side one to provide two vascular supports for the venous anastomosis. Y anastomosis makes the surgery easier and decreases complications resulting from vascular size mismatch. |
| first_indexed | 2024-03-09T05:42:40Z |
| format | Article |
| id | doaj.art-ec9c109beff1456c8be9023b28ee1539 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-03-09T05:42:40Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-ec9c109beff1456c8be9023b28ee15392023-12-03T12:23:45ZengBMCJournal of Medical Case Reports1752-19472023-12-011711610.1186/s13256-023-04177-5“Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literatureSoha Mohammadi0Nima Taghizadeh1Arash Abdollahi2Shabahang Mohammadi3ENT and Head & Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical SciencesENT and Head & Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical SciencesStudent Research Committee, Iran University of Medical SciencesENT and Head & Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical SciencesAbstract Background Lower lip squamous cell carcinoma is a significant subtype of head and neck cancer, constituting about 25–30% of cases. Traditional surgical methods, like primary closure, have limitations in managing large resections of lip tumors. Recent advancements in surgical techniques, particularly free flaps, have shown promising results in addressing these challenges. The Y-shaped anastomosis is an innovative approach aimed at enhancing the efficiency of microvascular free flap surgeries for improved lip cancer reconstruction outcomes. Case presentation A 77-year-old Persian male with lower lip squamous cell carcinoma underwent tumor resection with a 2 cm safety margin, bilateral neck dissection, and lip reconstruction using the right radial forearm free flap. The surgery incorporated a Y-shaped anastomosis to improve venous pedicle outcomes. Conclusion In this case, it was decided not to open the first anastomosis but to add the second end to the side one to provide two vascular supports for the venous anastomosis. Y anastomosis makes the surgery easier and decreases complications resulting from vascular size mismatch.https://doi.org/10.1186/s13256-023-04177-5Y anastomosisEnd-to-end anastomosisMicrosurgerySquamous cell carcinoma of head and neckFree tissue flaps |
| spellingShingle | Soha Mohammadi Nima Taghizadeh Arash Abdollahi Shabahang Mohammadi “Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature Journal of Medical Case Reports Y anastomosis End-to-end anastomosis Microsurgery Squamous cell carcinoma of head and neck Free tissue flaps |
| title | “Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature |
| title_full | “Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature |
| title_fullStr | “Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature |
| title_full_unstemmed | “Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature |
| title_short | “Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature |
| title_sort | y anastomosis a solution in doubtful venous anastomosis a case report and review of the literature |
| topic | Y anastomosis End-to-end anastomosis Microsurgery Squamous cell carcinoma of head and neck Free tissue flaps |
| url | https://doi.org/10.1186/s13256-023-04177-5 |
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