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  • Title: Lymphaticovenous anastomosis for facial lymphoedema after multiple courses of therapy for head-and-neck cancer.
    Author: Mihara M, Uchida G, Hara H, Hayashi Y, Moriguchi H, Narushima M, Iida T, Yamamoto T, Koshima I.
    Journal: J Plast Reconstr Aesthet Surg; 2011 Sep; 64(9):1221-5. PubMed ID: 21377943.
    Abstract:
    Lymphaticovenous anastomosis (LVA) is a treatment for lymphoedema that can improve lymph circulation by the anastomosis of lymph vessels and veins. A therapeutic effect of LVA for lymphoedema has been shown in limbs, but efficacy for other regions has not been shown. Lymphoedema in the head-and-neck region following cancer resection and radiotherapy is mainly treated with manual lymphatic drainage. However, there is no alternative when this treatment is ineffective because application of compression treatment using a bandage is difficult in this region. We used LVA for lymphoedema in the head-and-neck region and achieved a good outcome. Functional and dilating lymph vessels were identified using pre- and intra-operative fluorescent lymphography, and a lymph vessel with a diameter of about 0.2-1.0 mm was anastomosed with a vein using supermicrosurgery. The outcome of this case suggests that LVA is applicable for treatment of lymphoedema in the head-and-neck region.
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