ENT and Head & Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
School of Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.
J Med Case Rep. 2023 Dec 2;17(1):498. doi: 10.1186/s13256-023-04177-5.
Lower lip squamous cell carcinoma is a significant subtype of head and neck cancer, constituting about 25-30% of cases. Traditional surgical methods, like primary closure, have limitations in managing large resections of lip tumors. Recent advancements in surgical techniques, particularly free flaps, have shown promising results in addressing these challenges. The Y-shaped anastomosis is an innovative approach aimed at enhancing the efficiency of microvascular free flap surgeries for improved lip cancer reconstruction outcomes.
A 77-year-old Persian male with lower lip squamous cell carcinoma underwent tumor resection with a 2 cm safety margin, bilateral neck dissection, and lip reconstruction using the right radial forearm free flap. The surgery incorporated a Y-shaped anastomosis to improve venous pedicle outcomes.
In this case, it was decided not to open the first anastomosis but to add the second end to the side one to provide two vascular supports for the venous anastomosis. Y anastomosis makes the surgery easier and decreases complications resulting from vascular size mismatch.
下唇鳞状细胞癌是头颈部癌症的一个重要亚型，约占病例的 25-30%。传统的手术方法，如一期缝合，在处理唇部肿瘤的大切除时存在局限性。最近在手术技术方面的进展，特别是游离皮瓣，在解决这些挑战方面显示出了有希望的结果。Y 形吻合术是一种旨在提高微血管游离皮瓣手术效率的创新方法，以改善唇癌重建的结果。
一名 77 岁的波斯男性，患有下唇鳞状细胞癌，接受了肿瘤切除术，切除范围为 2cm 安全边界，双侧颈部清扫术，以及使用右侧桡动脉游离皮瓣进行唇部重建。手术采用 Y 形吻合术，以改善静脉蒂的结果。
在这种情况下，决定不打开第一个吻合口，而是将第二个末端添加到一侧，为静脉吻合提供两个血管支持。Y 形吻合术使手术更容易，并减少了由于血管大小不匹配而导致的并发症。
