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Original Article • Rev. Bras. Cir. Plást. 35 (4) • 2020 • https://doi.org/10.5935/2177-1235.2020RBCP0073 linkcopy

Open-access Cephalic vein transposition for head and neck microsurgical reconstruction: anatomical study in cadavers

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    ABSTRACT

    Introduction:  Cephalic vein transposition is an interesting alternative as a donor vein in head and neck cancer reconstruction in patients with a cervical radiotherapy history. This work aims to evaluate the cephalic vein anatomical characteristics in cadavers.

    Methods:  Six cephalic veins from three cadavers were dissected. The veins were sectioned in the medial part of the arm and transposed to the neck over the clavicles.

    Results:  The veins had an average length of 18.75 ± 1.84 cm and several tributaries with a variation of 7-9. The diameter coincided in both veins of each corpse. The anatomical parameter used to identify them (deltopectoral groove) proved reliable, allowing predictable dissection.

    Conclusion:  The cephalic vein has constant characteristics and is easy to locate, being an option relevant to the reconstructive plastic surgeon’s therapeutic arsenal.

    Keywords: Head and neck neoplasms; Reconstructive surgical procedures; Microsurgery; Autologous transplantation; Radiotherapy.

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