{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:06:36Z","timestamp":1760123196870,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,7,10]],"date-time":"2022-07-10T00:00:00Z","timestamp":1657411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study investigated the outcomes of the distal facial vein catheterization (DFVC) to manage venous thrombosis in vascularized submental lymph nodes (VSLN) flap transplantations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between March 2017 and December 2020, patients who underwent VSLN flaps were divided into Group I: combined delayed primary retention sutures (DPRS) with DFVC, and Group II: DPRS\u00a0alone. Primary outcomes were early (within 72\u2009h) and late venous thrombosis. Secondary outcomes included other nonvascular complications and mechanical factors of the thrombosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 105 patients who underwent 106 VSLN flaps, including 37 and 69 flaps in Groups I and II, respectively, were included. There were no statistically significant differences in age, body mass index, Taiwan lymphoscintigraphy staging, and surgical factors between the two groups (all <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). Early venous thrombosis requiring re\u2010exploration developed in one (2.7%) and three (4.3%) flaps in Groups I and II, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.20). One flap (2.7%) and eight (11.5%) flaps developed late venous thrombosis in Groups I and II, respectively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). There was no statistically significant difference in total complication rates between both groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>VSLN flap transplantation had a significantly higher risk of late venous thrombosis. DFVC significantly decreased the late venous thrombosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26995","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T06:05:01Z","timestamp":1657519501000},"page":"970-977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Distal facial vein catheterization for prevention and management of thrombosis in vascularized lymph node transfers"],"prefix":"10.1002","volume":"126","author":[{"given":"Gonzalo","family":"Mallarino\u2010Restrepo","sequence":"first","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5286-034X","authenticated-orcid":false,"given":"Miffy C.\u2010Y.","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"Center of Lymphedema Microsurgery Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4237-2959","authenticated-orcid":false,"given":"Ming\u2010Huei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"Center of Lymphedema Microsurgery Chang Gung Memorial Hospital Taoyuan Taiwan"},{"name":"Center for Tissue Engineering Chang Gung Memorial Hospital Taoyuan Taiwan"},{"name":"Section of Plastic Surgery The University of Michigan Ann Arbor 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