Brazilian journal of otorhinolaryngology · 2025
Cervical lymphatic tissue as an alternative donor site for the microsurgical treatment of secondary lymphedema in limbs.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Abreu Gustavo Amaral de, Naranjo Diego Alvarez, Silva Felipe de Borba Chiaramonte, Altamiranda Edgar Edinson Fernandez, Teixeira Sofia Ratchitzki, Manfro Gabriel, Teixeira Gilberto Vaz
Аннотация
OBJECTIVE: To describe cervical lymphnodes as an option for a donor area for the transfer of vascularized tissue in lymphedema surgeries.
METHODS: Five microsurgical procedures were performed to transfer vascularized lymphatic tissue from cervical stages Ib, III, or IV as the donor site. Patient outcomes were evaluated from 15 to 180 days postoperatively using metric assessments and photographic documentation.
RESULTS: In this study, complete improvement in the measures of certain parts of the affected limb was observed in two of the five patients (100% improvement). Two patients experienced an improvement of over 50%. One patient, lost to follow-up, showed no improvement.
CONCLUSION: Lymphatic tissue from cervical levels appears to be a viable donor site for the surgical treatment of lymphedema in the limbs. This method may yield promising future outcomes, constituting a new area of practice for head and neck surgeons.
LEVEL OF EVIDENCE: Level IV.
METHODS: Five microsurgical procedures were performed to transfer vascularized lymphatic tissue from cervical stages Ib, III, or IV as the donor site. Patient outcomes were evaluated from 15 to 180 days postoperatively using metric assessments and photographic documentation.
RESULTS: In this study, complete improvement in the measures of certain parts of the affected limb was observed in two of the five patients (100% improvement). Two patients experienced an improvement of over 50%. One patient, lost to follow-up, showed no improvement.
CONCLUSION: Lymphatic tissue from cervical levels appears to be a viable donor site for the surgical treatment of lymphedema in the limbs. This method may yield promising future outcomes, constituting a new area of practice for head and neck surgeons.
LEVEL OF EVIDENCE: Level IV.