Single Superficial versus Dual Systems Venous Anastomoses in Radial Forearm Free Flap: A Meta-Analysis

Shuang Bai; Zhong-Fei Xu; Wei-Yi Duan; Fa-Yu Liu; Dong-Hui Huang; Chang-Fu Sun

doi:10.1371/journal.pone.0134805

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Single Superficial versus Dual Systems Venous Anastomoses in Radial Forearm Free Flap: A Meta-Analysis

Journal article

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Single Superficial versus Dual Systems Venous Anastomoses in Radial Forearm Free Flap: A Meta-Analysis

Shuang Bai, Zhong-Fei Xu, Wei-Yi Duan, Fa-Yu Liu, Dong-Hui Huang and Chang-Fu Sun

PloS one, Vol.10(8), pp.e0134805-e0134805

2015

DOI: https://doi.org/10.1371/journal.pone.0134805

PMCID: PMC4535954

PMID: 26270854

Appears in UM Open Access Research Published in PloS

Abstract

Humans

Arteriovenous Shunt, Surgical - methods

The radial forearm free flap (RFFF) has been widely used with increasing frequency in head and neck reconstruction following extirpative surgery. The controversy of the venous anastomoses patterns still exists. Thus, we conducted a meta-analysis to assess the relationship between the venous anastomoses patterns and venous compromise. MEDLINE, PubMed, Web of Science, and Wanfang databases were searched for studies reporting the different venous anastomoses patterns of the RFFF. A meta-analysis was conducted using the random effects models. Publication bias and sensitivity analysis were also assessed. 6 studies with 992 cases were included in this meta-analysis. The dual anastomosis group tended to have a lower incidence of venous compromise (RR = 1.39). However, the difference was not statistically significant (95%CI: 0.59, 3.24). This meta-analysis indicated that performing dual venous anatomoses consisting of superficial and deep systems conferred a tendency of the reduction with regard to venous compromise.

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Citation topics: 1 Clinical & Life Sciences; 1.173 Cosmetic Surgery; 1.173.369 Flap
Web Of Science research areas: Surgery
ESI research areas: Clinical Medicine

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Details

Title: Single Superficial versus Dual Systems Venous Anastomoses in Radial Forearm Free Flap: A Meta-Analysis
Creators: Shuang Bai - Department of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China; Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China
Zhong-Fei Xu - Department of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China; Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China
Wei-Yi Duan - Department of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China; Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China
Fa-Yu Liu - Department of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China; Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China
Dong-Hui Huang - Department of Clinical Epidemiology, the first affiliated hospital of China Medical University, No.155, Nanjing Street, Heping District, Shenyang, Liaoning, People's Republic of China
Chang-Fu Sun - Department of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China; Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, No.117, Nanjing North Street, Heping District, Shenyang, Liaoning, People's Republic of China
Publication Details: PloS one, Vol.10(8), pp.e0134805-e0134805
Publisher: United States
Language: English
Resource Type: Journal article
PMID: 26270854
PMCID: PMC4535954
Record Identifier: 991031576126002976