ZOR DURUMLARDA ALICI DAMAR OLARAK SERBEST FLEP KİMERİZASYONUNU İÇEREN FARKLI MODALİTELERLE BİRLİKTE TORAKOAKROMİAL ARTERYEL GÖVDE VE SEFALİK VEN SİSTEMİNİN KULLANIMI

Objective
 We aimed to remind surgeons of the presence the
 thoracoacromial arterial trunk and cephalic vein (TATCV)
 for a comfortable reliable free flap transfer
 head, arm, trunk, in case mainstream recipient vessels these regions pose some inconveniences
 due previous surgery, radiotherapy, or
 trauma.
 Material Methods
 Eight cases trauma or tumor involving head and
 neck upper extremity, treated with tissue which this vascular system was used different
 modalities, were reviewed retrospectively.
 Results
 This proved be all cases.
 It enabled chimerization pectoral flap. was
 six patients reconstructions
 two extremity restrorations. Switching
 anastomoses TAT-CV site vein
 transposition found rapid methods
 rescue compromised circulation.
 Discussion
 Although anatomically well known by many reconstructive
 surgeons, its ease dissection, consistency,
 supply branches differing caliber, strategic
 location is not adequately appreciated. Moreover, in
 pectoralis major transfer additional
 required, already
 there receive it.