A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap.
Identifieur interne : 000501 ( PubMed/Checkpoint ); précédent : 000500; suivant : 000502A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap.
Auteurs : Ming-Huei Cheng [Taïwan] ; Chia-Yu Lin [Taïwan] ; Ketan M. Patel [États-Unis]Source :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- anatomie et histologie : Anastomose artérioveineuse.
- physiologie : Lambeaux chirurgicaux.
- Adulte d'âge moyen, Humains, Lambeaux chirurgicaux, Lymphoedème, Noeuds lymphatiques, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Arteriovenous Anastomosis.
- blood supply : Lymph Nodes, Surgical Flaps.
- physiology : Surgical Flaps.
- surgery : Lymphedema, Surgical Flaps.
- transplantation : Lymph Nodes.
- Humans, Middle Aged, Prospective Studies.
Abstract
The vascularized submental lymph node (VSLN) flap has become a popular choice for the treatment of lymphedema. Despite its favorable characteristics, anatomic variability exists, making the harvest of this flap challenging. Knowledge and characterization of anatomic variability can aid the surgeon in safe and effective flap harvest.
DOI: 10.1002/jso.24487
PubMed: 28083889
Affiliations:
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Patel</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Plastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28083889</idno><idno type="pmid">28083889</idno><idno type="doi">10.1002/jso.24487</idno><idno type="wicri:Area/PubMed/Corpus">000418</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000418</idno><idno type="wicri:Area/PubMed/Curation">000418</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000418</idno><idno type="wicri:Area/PubMed/Checkpoint">000418</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000418</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap.</title><author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic Surgery, Chang Gung Memorial Hospital, Taoyuan</wicri:regionArea><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Chia Yu" sort="Lin, Chia Yu" uniqKey="Lin C" first="Chia-Yu" last="Lin">Chia-Yu Lin</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic Surgery, Chang Gung Memorial Hospital, Taoyuan</wicri:regionArea><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Patel, Ketan M" sort="Patel, Ketan M" uniqKey="Patel K" first="Ketan M" last="Patel">Ketan M. Patel</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Plastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of surgical oncology</title><idno type="eISSN">1096-9098</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arteriovenous Anastomosis (anatomy & histology)</term><term>Humans</term><term>Lymph Nodes (blood supply)</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Prospective Studies</term><term>Surgical Flaps (blood supply)</term><term>Surgical Flaps (physiology)</term><term>Surgical Flaps (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose artérioveineuse (anatomie et histologie)</term><term>Humains</term><term>Lambeaux chirurgicaux ()</term><term>Lambeaux chirurgicaux (physiologie)</term><term>Lymphoedème ()</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (transplantation)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Anastomose artérioveineuse</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Arteriovenous Anastomosis</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Lymph Nodes</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Lambeaux chirurgicaux</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The vascularized submental lymph node (VSLN) flap has become a popular choice for the treatment of lymphedema. Despite its favorable characteristics, anatomic variability exists, making the harvest of this flap challenging. Knowledge and characterization of anatomic variability can aid the surgeon in safe and effective flap harvest.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28083889</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>13</Day></DateCreated><DateCompleted><Year>2017</Year><Month>02</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1096-9098</ISSN><JournalIssue CitedMedium="Internet"><Volume>115</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of surgical oncology</Title><ISOAbbreviation>J Surg Oncol</ISOAbbreviation></Journal><ArticleTitle>A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap.</ArticleTitle><Pagination><MedlinePgn>43-47</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24487</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The vascularized submental lymph node (VSLN) flap has become a popular choice for the treatment of lymphedema. Despite its favorable characteristics, anatomic variability exists, making the harvest of this flap challenging. Knowledge and characterization of anatomic variability can aid the surgeon in safe and effective flap harvest.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A prospective analysis of all patients who underwent VSLN flap transfer for lymphedema was performed. Demographics, operative details, and post-operative recovery were analyzed for included patients. Intraoperative videography and detailed anatomic drawings of each case were reviewed to accurately account for anatomic variability and details.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-two patients were identified during the study period. Arteriovenous anatomic variability (A1-A2 and V1-V4) existed, with most patients having the artery and vein present superior to the submandibular gland (A1V1; 31%), with other combinations occurring less frequently. Flap harvest time was found to be significantly increased with an intraglandular arterial course (P < 0.01).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The VSLN flap can be safely and effectively harvested with knowledge of arteriovenous anatomic variability. Most commonly, the artery and vein travel together superior to the submandibular gland, but other variations exist, which may add time to surgical flap harvest and increased need for dissection. J. Surg. Oncol. 2017;115:43-47. © 2017 Wiley Periodicals, Inc.</AbstractText><CopyrightInformation>© 2017 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cheng</LastName><ForeName>Ming-Huei</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Chia-Yu</ForeName><Initials>CY</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Ketan M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Oncol</MedlineTA><NlmUniqueID>0222643</NlmUniqueID><ISSNLinking>0022-4790</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001163" MajorTopicYN="N">Arteriovenous Anastomosis</DescriptorName><QualifierName UI="Q000033" MajorTopicYN="N">anatomy & histology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">breast cancer related lymphedema</Keyword><Keyword MajorTopicYN="N">facial artery</Keyword><Keyword MajorTopicYN="N">lower extremity swelling</Keyword><Keyword MajorTopicYN="N">lymphatic reconstruction</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">submental anatomy</Keyword><Keyword MajorTopicYN="N">submental flap</Keyword><Keyword MajorTopicYN="N">vascularized lymph node transfer</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>07</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28083889</ArticleId><ArticleId IdType="doi">10.1002/jso.24487</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Taïwan</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="Taïwan"><noRegion><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name></noRegion><name sortKey="Lin, Chia Yu" sort="Lin, Chia Yu" uniqKey="Lin C" first="Chia-Yu" last="Lin">Chia-Yu Lin</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Patel, Ketan M" sort="Patel, Ketan M" uniqKey="Patel K" first="Ketan M" last="Patel">Ketan M. 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