Free flap microvascular anastomosis in head and neck reconstruction using a 4K three-dimensional exoscope system (VITOM 3D)

The aim of this study was to evaluate the feasibility of microvascular anastomosis using a 4K three-dimensional exoscope system (VITOM 3D) in 10 consecutive cases of free flap head and neck reconstructive surgery. This was a clinical human study of free flap microvascular anastomosis using a VITOM 3...

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Veröffentlicht in:International journal of oral and maxillofacial surgery 2020-09, Vol.49 (9), p.1169-1173
Hauptverfasser: De Virgilio, A., Iocca, O., Di Maio, P., Mercante, G., Mondello, T., Yiu, P., Malvezzi, L., Pellini, R., Ferreli, F., Spriano, G.
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container_end_page 1173
container_issue 9
container_start_page 1169
container_title International journal of oral and maxillofacial surgery
container_volume 49
creator De Virgilio, A.
Iocca, O.
Di Maio, P.
Mercante, G.
Mondello, T.
Yiu, P.
Malvezzi, L.
Pellini, R.
Ferreli, F.
Spriano, G.
description The aim of this study was to evaluate the feasibility of microvascular anastomosis using a 4K three-dimensional exoscope system (VITOM 3D) in 10 consecutive cases of free flap head and neck reconstructive surgery. This was a clinical human study of free flap microvascular anastomosis using a VITOM 3D exoscope in 10 consecutive patients undergoing reconstruction after ablative surgery for head and neck carcinoma. Microvascular anastomoses were performed successfully using the exoscope in all patients, without any need for the conventional microscope. Arterial anastomoses were all end-to-end. Venous anastomoses were end-to-end in eight cases and end-to-side with the internal jugular vein in two cases. This study demonstrates the technical feasibility of microvascular anastomosis using a 4K three-dimensional exoscope system (VITOM 3D) in a series of 10 cases.
doi_str_mv 10.1016/j.ijom.2020.01.022
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subjects Dentistry
free flap
head and neck reconstruction
head neck surgery
microsurgery
microvascular anastomosis
title Free flap microvascular anastomosis in head and neck reconstruction using a 4K three-dimensional exoscope system (VITOM 3D)
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