LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000042

π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study

Identifieur interne : 000042 ( PascalFrancis/Corpus ); précédent : 000041; suivant : 000043

π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study

Auteurs : Benoit Ayestaray ; Farid Bekara ; Jean-Baptiste Andreoletti

Source :

Journal of plastic, reconstructive & aesthetic surgery [ 1748-6815 ] ; 2013.

RBID : Pascal:13-0083749

Descripteurs français

Pascal (Inist)
- Lymphoedème, Chirurgie, Tête cou, Cou, Lymphadénectomie, Traitement.

English descriptors

KwdEn :
- Head and neck, Lymphadenectomy, Lymphedema, Neck, Surgery, Treatment.

Abstract

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. 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. 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). 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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08	`01`	`1`	`ENG`	`@1 π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study`
A11	`01`	`1`		`@1 AYESTARAY (Benoit)`
A11	`02`	`1`		`@1 BEKARA (Farid)`
A11	`03`	`1`		`@1 ANDREOLETTI (Jean-Baptiste)`
A14	`01`			`@1 Department of Plastic and Reconstructive Surgery, Nimes University Hospital, pl Pr Robert Debré @2 30000 Nimes @3 FRA @Z 1 aut. @Z 2 aut.`
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C01	`01`		`ENG`	@0 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. 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. 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). 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.
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C03	`04`	`X`	`SPA`	`@0 Cuello @5 08`
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C03	`05`	`X`	`SPA`	`@0 Linfadenectomía @5 09`
C03	`06`	`X`	`FRE`	`@0 Traitement @5 30`
C03	`06`	`X`	`ENG`	`@0 Treatment @5 30`
C03	`06`	`X`	`SPA`	`@0 Tratamiento @5 30`
C07	`01`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 37`
C07	`01`	`X`	`ENG`	`@0 Cardiovascular disease @5 37`
C07	`01`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 38`
C07	`02`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 38`
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Format Inist (serveur)

NO :	PASCAL 13-0083749 INIST
ET :	π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study
AU :	AYESTARAY (Benoit); BEKARA (Farid); ANDREOLETTI (Jean-Baptiste)
AF :	Department of Plastic and Reconstructive Surgery, Nimes University Hospital, pl Pr Robert Debré/30000 Nimes/France (1 aut., 2 aut.); Department of Plastic and Reconstructive Surgery, Breast Institute, 15, av Jean Jaurès/90000 Belfort/France (1 aut., 3 aut.)
DT :	Publication en série; Niveau analytique
SO :	Journal of plastic, reconstructive & aesthetic surgery ; ISSN 1748-6815; Royaume-Uni; Da. 2013; Vol. 66; No. 2; Pp. 201-208; Bibl. 16 ref.
LA :	Anglais
EA :	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. 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. 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). 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.
CC :	002B25; 002B12B04
FD :	Lymphoedème; Chirurgie; Tête cou; Cou; Lymphadénectomie; Traitement
FG :	Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lymphedema; Surgery; Head and neck; Neck; Lymphadenectomy; Treatment
EG :	Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Cirugía; Cabeza cuello; Cuello; Linfadenectomía; Tratamiento
LO :	INIST-11042.354000182502590070
ID :	13-0083749

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Pascal:13-0083749

Le document en format XML

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<front><div type="abstract" xml:lang="en">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. 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. 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). 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.</div>
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<fC01 i1="01" l="ENG"><s0>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. 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. 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). 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.</s0>
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</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fN21><s1>056</s1>
</fN21>
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<server><NO>PASCAL 13-0083749 INIST</NO>
<ET>π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study</ET>
<AU>AYESTARAY (Benoit); BEKARA (Farid); ANDREOLETTI (Jean-Baptiste)</AU>
<AF>Department of Plastic and Reconstructive Surgery, Nimes University Hospital, pl Pr Robert Debré/30000 Nimes/France (1 aut., 2 aut.); Department of Plastic and Reconstructive Surgery, Breast Institute, 15, av Jean Jaurès/90000 Belfort/France (1 aut., 3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of plastic, reconstructive & aesthetic surgery ; ISSN 1748-6815; Royaume-Uni; Da. 2013; Vol. 66; No. 2; Pp. 201-208; Bibl. 16 ref.</SO>
<LA>Anglais</LA>
<EA>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. 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. 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). 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.</EA>
<CC>002B25; 002B12B04</CC>
<FD>Lymphoedème; Chirurgie; Tête cou; Cou; Lymphadénectomie; Traitement</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Surgery; Head and neck; Neck; Lymphadenectomy; Treatment</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Cirugía; Cabeza cuello; Cuello; Linfadenectomía; Tratamiento</SD>
<LO>INIST-11042.354000182502590070</LO>
<ID>13-0083749</ID>
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π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study

π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study

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