The thoracoacromial/cephalic vascular system for microvascular anastomoses in the vessel-depleted neck

Abstract

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