MULTIPLE LYMPHATICOVENULAR ANASTOMOSES FOR LONGSTANDING FACIAL LYMPHEDEMA AFTER MULTI-SURGERY FOR HEAD-AND-NECK CANCERS
Treatment for long standing lymphedema in the head-and-neck region following cancer resection and radiotherapy is challenge. Multiple and multi-site lymphaticovenular anastomoses (mLVAs),established by Koshima andneeds supermicrosurgical technique, is now considered to be anessentialtreatment for limb lymphedema. mLVAs for facial lymphedema was achieved for case after resection for multiple head-and-neck cancer achieved. Preoperative fluorescent lymphography showed remaining function and localization of lymphatic channels, and a lymph vessel with a diameter of about 0.2-1.0 mm was anastomosed with a vein using supermicrosurgery. The outcome of this case suggests that LVA is applicable for treatment of lymphedema in the head-and-neck region.
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Keywords
лимфедема лица, лимфовенулярный анастомоз, сверх-микрохирургия, лечение лимфедемы, восстановления лица и шеи, лимфография, facial lymphedema, lymphaticovenular anastomosis, supermicrosurgery, lymphedema therapy, head-andneck reconstruction, ICGIntra-operative lymphography, 617.51-006.6-089-06:617.52-005.93-089.86Authors
| Name | Organization | |
| Isao Koshima | International Center for Lymphedema (ICL) | |
| Shuhei Yoshida | International Center for Lymphedema (ICL) | |
| Shogo Nagamatsu | Plastic and Reconstructive Surgery, Hiroshima University Hospital | |
| Kazunori Yokota | Plastic and Reconstructive Surgery, Hiroshima University Hospital | |
| Haruki Mizuta | Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo | |
| Mitsunobu Harima | Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo | |
| Shuji Yamashita | Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo |
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