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Posterior external jugular vein: a useful alternative recipient vessel in head and neck free flap reconstructions

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Abstract

In a case of radical cancer ablation, the external jugular vein (EJV) and internal jugular vein (IJV) are sometimes inevitably eliminated. We report the utilization of posterior external jugular veins (PEJV) for recipients in head and neck microvascular free flap reconstruction. This is a report of two male patients, who had defects successfully reconstructed using posterior external jugular veins (PEJV) as recipient vessels. Since the IJV, EJV and adjacent veins had been totally excised in both cases, PEJV were utilized as recipient vessels without any complications. The cases pioneer use of PEJV as alternative recipient vessels in head and neck microvascular reconstruction.

Level of evdence: Level V, therapeutic study

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Acknowledgments

We would like to thank Editage (www.editage.jp) for English language editing.

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Correspondence to Ryogo Kuba.

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Ryogo Kuba, Yusuke Shimizu, Reina Kitabata, and Shun Yamazaki declare no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. No ethical approval from a local ethics committee was necessary for this case report.

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Kuba, R., Shimizu, Y., Kitabata, R. et al. Posterior external jugular vein: a useful alternative recipient vessel in head and neck free flap reconstructions. Eur J Plast Surg 43, 661–664 (2020). https://doi.org/10.1007/s00238-020-01677-1

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  • DOI: https://doi.org/10.1007/s00238-020-01677-1

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