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Vascularized lymph node transfer with submental free flap

Mazerolle, Paul and Meresse, Thomas and Gangloff, Dimitri and Kolsi, Karim and Dupret Bories, Agnès Vascularized lymph node transfer with submental free flap. (2020) European Annals of Otorhinolaryngology, Head and Neck Diseases, 137 (1). 73-77. ISSN 1879-7296

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Official URL: https://doi.org/10.1016/j.anorl.2019.11.004

Abstract

Limb lymphoedema is common in patients who have undergone inguinal or axillary lymph node dissection. Lymphoedema seriously impacts the patient's quality of life by inducing adipogenesis, fibrosis and repeated episodes of lymphangitis and cellulitis. Following failure of compression therapies, several curative or symptomatic surgical options have been proposed over recent decades, such as liposuction or lymphovenous anastomosis. Vascularized lymph node transfer techniques have recently been described, with promising results. Vascularized lymph node transfer with submental free flap appears to be the most reliable of these technique, associated with the lowest morbidity. The flap harvesting technique presents several specific differences compared to conventional submental free flap. A good knowledge of neck anatomy is essential and multimodal and multidisciplinary management is often required. In the light of a case report, we describe the basic submental free flap technique for vascularized lymph node transfer for the treatment of lower limb lymphoedema. This technique may be used by head and neck surgeons performing flap harvest, as well as plastic surgeon surgeons or gynaecologists ensuring long-term management of these patients.

Item Type:Article
HAL Id:hal-03206224
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Institut Claudius Regaud - ICR (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
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Deposited On:23 Apr 2021 07:55

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