MacFee incisions: Dispelling the myth of cervical flap vascular inadequacy
作者:
Christopher H. Daniell,
Willard E. Fee,
期刊:
Head&Neck Surgery
(WILEY Available online 1987)
卷期:
Volume 9,
issue 3
页码: 167-171
ISSN:0148-6403
年代: 1987
DOI:10.1002/hed.2890090307
出版商: Wiley Subscription Services, Inc., A Wiley Company
数据来源: WILEY
摘要:
AbstractMacFee (double horizontal) incisions have often been criticized for transecting the dominant blood supply of the central bipedicled cervical flap. To assess the viability of this flap we reviewed our recent surgical data. Ninety‐three patients who underwent 100 radical neck dissections were evaluated retrospectively for cervical skin viability after surgery. MacFee incisions were used in 50 of these; in the remaining 50 a variety of other incisions were used. With MacFee incisions no ischemic tissue loss resulted. By contrast, six patients (12%) in the comparison group experienced partial flap necrosis due to ischemia. Chi‐square analysis shows this difference to be statistically significant (P<0.01). This study shows the bipedicled cervical flap to be durable, dependable, and sufficiently vascularized to prevent ischemic tissue loss, even when incisions were previously placed in the ipsilateral neck or antecedent radiation therapy was delive
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