π-shaped lymphaticovenular anastomosis for head and neck lymphoedema: a preliminary study.
Identifieur interne : 005197 ( Ncbi/Merge ); précédent : 005196; suivant : 005198π-shaped lymphaticovenular anastomosis for head and neck lymphoedema: a preliminary study.
Auteurs : Benoit Ayestaray [France] ; Farid Bekara ; Jean-Baptiste AndreolettiSource :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anastomose chirurgicale (), Femelle, Humains, Indice de gravité médicale, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Maladie chronique, Microchirurgie (), Mâle, Résultat thérapeutique, Soins postopératoires (), Sujet âgé, Tumeurs de la tête et du cou (), Tumeurs de la tête et du cou (anatomopathologie), Vaisseaux lymphatiques (), Études de suivi, Études par échantillonnage, Évaluation des risques.
- MESH :
- anatomopathologie : Tumeurs de la tête et du cou.
- effets indésirables : Lymphadénectomie.
- physiopathologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Anastomose chirurgicale, Femelle, Humains, Indice de gravité médicale, Lymphadénectomie, Lymphoedème, Maladie chronique, Microchirurgie, Mâle, Résultat thérapeutique, Soins postopératoires, Sujet âgé, Tumeurs de la tête et du cou, Vaisseaux lymphatiques, Études de suivi, Études par échantillonnage, Évaluation des risques.
English descriptors
- KwdEn :
- Aged, Anastomosis, Surgical (methods), Chronic Disease, Female, Follow-Up Studies, Head and Neck Neoplasms (complications), Head and Neck Neoplasms (pathology), Head and Neck Neoplasms (surgery), Humans, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphatic Vessels (surgery), Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (surgery), Male, Microsurgery (methods), Middle Aged, Postoperative Care (methods), Risk Assessment, Sampling Studies, Severity of Illness Index, Treatment Outcome.
- MESH :
- adverse effects : Lymph Node Excision.
- complications : Head and Neck Neoplasms.
- etiology : Lymphedema.
- methods : Anastomosis, Surgical, Lymph Node Excision, Microsurgery, Postoperative Care.
- pathology : Head and Neck Neoplasms.
- physiopathology : Lymphedema.
- surgery : Head and Neck Neoplasms, Lymphatic Vessels, Lymphedema.
- Aged, Chronic Disease, Female, Follow-Up Studies, Humans, Male, Middle Aged, Risk Assessment, Sampling Studies, Severity of Illness Index, Treatment Outcome.
Abstract
Head and neck lymphoedema secondary to jugular lymphadenectomy is a severe issue, without efficient solution. Successful treatment of lymphoedema of the upper and lower limbs has become possible with supermicrosurgical lymphaticovenular anastomosis. The technique based on two end-to-side anastomosis is named π-shaped lymphaticovenular anastomosis. We have evaluated this method for chronic head and neck lymphoedema.
DOI: 10.1016/j.bjps.2012.08.049
PubMed: 23041205
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pubmed:23041205Le document en format XML
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(methods)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Postoperative Care (methods)</term><term>Risk Assessment</term><term>Sampling Studies</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale ()</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Maladie chronique</term><term>Microchirurgie ()</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Soins postopératoires ()</term><term>Sujet âgé</term><term>Tumeurs de la tête et du cou ()</term><term>Tumeurs de la tête et du cou (anatomopathologie)</term><term>Vaisseaux lymphatiques ()</term><term>Études de suivi</term><term>Études par échantillonnage</term><term>Évaluation des risques</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de la tête et du cou</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Head and Neck Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Lymph Node Excision</term><term>Microsurgery</term><term>Postoperative Care</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Head and Neck Neoplasms</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Head and Neck Neoplasms</term><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Chronic Disease</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Assessment</term><term>Sampling Studies</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tumeurs de la tête et du cou</term><term>Vaisseaux lymphatiques</term><term>Études de suivi</term><term>Études par échantillonnage</term><term>Évaluation des risques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Head and neck lymphoedema secondary to jugular lymphadenectomy is a severe issue, without efficient solution. Successful treatment of lymphoedema of the upper and lower limbs has become possible with supermicrosurgical lymphaticovenular anastomosis. The technique based on two end-to-side anastomosis is named π-shaped lymphaticovenular anastomosis. We have evaluated this method for chronic head and neck lymphoedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23041205</PMID><DateCreated><Year>2013</Year><Month>01</Month><Day>14</Day></DateCreated><DateCompleted><Year>2013</Year><Month>03</Month><Day>14</Day></DateCompleted><DateRevised><Year>2013</Year><Month>01</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-0539</ISSN><JournalIssue CitedMedium="Internet"><Volume>66</Volume><Issue>2</Issue><PubDate><Year>2013</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>π-shaped lymphaticovenular anastomosis for head and neck lymphoedema: a preliminary study.</ArticleTitle><Pagination><MedlinePgn>201-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2012.08.049</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1748-6815(12)00508-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Head and neck lymphoedema secondary to jugular lymphadenectomy is a severe issue, without efficient solution. Successful treatment of lymphoedema of the upper and lower limbs has become possible with supermicrosurgical lymphaticovenular anastomosis. The technique based on two end-to-side anastomosis is named π-shaped lymphaticovenular anastomosis. We have evaluated this method for chronic head and neck lymphoedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">From November 2010 to April 2011, four patients with a chronic head and neck lymphoedema were treated by π-shaped lymphaticovenular anastomosis. Three patients had a unilateral lymphoedema, and one patient had a bilateral lymphoedema. The mean age of the patients was 63.2 years (range, 46-77 years). The mean duration of the lymphoedema was 2.6 years (range, 1-5). Every patient was operated under local anaesthesia through a face-lift skin incision. One π-shaped lymphaticovenular anastomosis was performed at each operative site.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The average operative time to perform one π-shaped lymphaticovenular anastomosis was 1.9 h (range, 1.8-2.5). The calibre of lymphatic vessels used for lymphaticovenular anastomosis ranged from 0.3 to 0.7 mm (average, 0.5). A venous back-flow was found in seven lymphaticovenular anastomosis (70%). Three patients (75%) had a qualitative improvement of skin tissue and a significant circumferential reduction after surgery. The average circumferential differential reduction rate was 3.7% (range, 0.6-7.8) (p=0.006). The average cross-sectional area differential reduction rate was 7.2% (range, 1.2-15.1) (p=0.007). The average volume differential reduction rate was 6.9% (range, 2-14.8) (p=0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The authors present a new option to treat head and neck lymphoedema. π-Shaped lymphaticovenular anastomosis is an effective method to reduce the severity of skin tissue fibrosis and lymphoedema volume. Further studies with larger groups of patients are required to confirm the outcome of this preliminary study. EBM Level=level 4.</AbstractText><CopyrightInformation>Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ayestaray</LastName><ForeName>Benoit</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Nimes University Hospital, pl Pr Robert Debré, 30000 Nimes, France. bayestaray@yahoo.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bekara</LastName><ForeName>Farid</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Andreoletti</LastName><ForeName>Jean-Baptiste</ForeName><Initials>JB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>10</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Plast Reconstr Aesthet Surg</MedlineTA><NlmUniqueID>101264239</NlmUniqueID><ISSNLinking>1748-6815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Plast Reconstr Aesthet Surg. 2013 Feb;66(2):207-8</RefSource><PMID Version="1">23218655</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="N">Microsurgery</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012494" MajorTopicYN="N">Sampling Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>06</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>08</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>08</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>3</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23041205</ArticleId><ArticleId IdType="pii">S1748-6815(12)00508-6</ArticleId><ArticleId IdType="doi">10.1016/j.bjps.2012.08.049</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Languedoc-Roussillon</li><li>Occitanie (région administrative)</li></region><settlement><li>Nimes</li></settlement></list><tree><noCountry><name sortKey="Andreoletti, Jean Baptiste" sort="Andreoletti, Jean Baptiste" uniqKey="Andreoletti J" first="Jean-Baptiste" last="Andreoletti">Jean-Baptiste Andreoletti</name><name sortKey="Bekara, Farid" sort="Bekara, Farid" uniqKey="Bekara F" first="Farid" last="Bekara">Farid Bekara</name></noCountry><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Ayestaray, Benoit" sort="Ayestaray, Benoit" uniqKey="Ayestaray B" first="Benoit" last="Ayestaray">Benoit Ayestaray</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix 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