The Thoracoacromial/Cephalic Vascular System for Microvascular Anastomoses in the Vessel-Depleted Neck

Abstract

<h3>Objective</h3> To review our experience with use of the thoracoacromial/cephalic (TAC) system in the free flap reconstruction of complicated head and neck defects. <h3>Design</h3> Case series. <h3>Setting</h3> Tertiary care referral center. <h3>Population</h3> A consecutive sample of 11 patients requiring free flap reconstruction of head and neck defects using the TAC system for microvascular anastomoses was identified by medical chart review. <h3>Intervention</h3> Free flap reconstruction of complicated defects of the head and neck using the TAC vascular system for microvascular anastomoses. <h3>Main Outcome Measures</h3> Free flap survival and microvascular thrombosis. <h3>Results</h3> Of 11 patients using TAC anastomoses, all had complete survival of free flaps. No complications related to anastomotic failure were identified. <h3>Conclusions</h3> The TAC system provides a reliable source of undisturbed vessels when cervical vessels are unusable or absent.