Cervical lymphatic tissue as an alternative donor site for the microsurgical treatment of secondary lymphedema in limbs.
Abstract
[OBJECTIVE] To describe cervical lymphnodes as an option for a donor area for the transfer of vascularized tissue in lymphedema surgeries.
[METHODS] Five microsurgical procedures were performed to transfer vascularized lymphatic tissue from cervical stages Ib, III, or IV as the donor site. Patient outcomes were evaluated from 15 to 180 days postoperatively using metric assessments and photographic documentation.
[RESULTS] In this study, complete improvement in the measures of certain parts of the affected limb was observed in two of the five patients (100% improvement). Two patients experienced an improvement of over 50%. One patient, lost to follow-up, showed no improvement.
[CONCLUSION] Lymphatic tissue from cervical levels appears to be a viable donor site for the surgical treatment of lymphedema in the limbs. This method may yield promising future outcomes, constituting a new area of practice for head and neck surgeons.
[LEVEL OF EVIDENCE] Level IV.
[METHODS] Five microsurgical procedures were performed to transfer vascularized lymphatic tissue from cervical stages Ib, III, or IV as the donor site. Patient outcomes were evaluated from 15 to 180 days postoperatively using metric assessments and photographic documentation.
[RESULTS] In this study, complete improvement in the measures of certain parts of the affected limb was observed in two of the five patients (100% improvement). Two patients experienced an improvement of over 50%. One patient, lost to follow-up, showed no improvement.
[CONCLUSION] Lymphatic tissue from cervical levels appears to be a viable donor site for the surgical treatment of lymphedema in the limbs. This method may yield promising future outcomes, constituting a new area of practice for head and neck surgeons.
[LEVEL OF EVIDENCE] Level IV.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | Cervical lymphatic tissue
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 해부 | lymphatic tissue
|
scispacy | 1 | ||
| 해부 | cervical
|
scispacy | 1 | ||
| 해부 | limb
|
scispacy | 1 | ||
| 해부 | limbs
|
scispacy | 1 | ||
| 합병증 | lymphedema
|
scispacy | 1 | ||
| 합병증 | limbs
|
scispacy | 1 | ||
| 약물 | [OBJECTIVE]
|
scispacy | 1 | ||
| 질환 | secondary lymphedema
|
C0265191
Chronic acquired lymphedema
|
scispacy | 1 | |
| 질환 | lymphedema
|
C0024236
Lymphedema
|
scispacy | 1 | |
| 질환 | head and neck surgeons
|
C3241959
Head and Neck Surgeon
|
scispacy | 1 | |
| 질환 | head and neck
|
scispacy | 1 | ||
| 기타 | cervical lymphnodes
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Humans; Lymphedema; Microsurgery; Female; Middle Aged; Male; Treatment Outcome; Lymphatic Vessels; Adult; Neck; Aged; Transplant Donor Site