{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T08:40:53Z","timestamp":1766133653249},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2008,11,24]],"date-time":"2008-11-24T00:00:00Z","timestamp":1227484800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Head Face Med"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Reconstruction of the facial hard- and soft tissues is of special concern for the rehabilitation of patients especially after ablative tumor surgery has been performed. Impaired soft and hard tissue conditions as a sequelae of extensive surgical resection and\/or radiotherapy may impede common reconstruction methodes. Even free flaps may not be used without interposition of a vein graft as recipient vessels are not available as a consequence of radical neck dissection.<\/jats:p>\n          <jats:p>We describe the reconstruction of the facial hard- and soft tissues with a free parasacpular flap in a patient who had received ablative tumor surgery and radical cervical lymphadenectomy as a treatment regimen for squamous cell carcinoma (SCC). To replace the missing cervical blood vessels an arteriovenous subclavia-shunt using a saphena magna graft was created. Microvascular free flap transfer was performed as a 2-stage procedure two weeks after the shunt operation. The microvascular reconstructive technique is described in detail.<\/jats:p>","DOI":"10.1186\/1746-160x-4-27","type":"journal-article","created":{"date-parts":[[2008,11,25]],"date-time":"2008-11-25T07:14:53Z","timestamp":1227597293000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Ateriovenous subclavia-shunt for head and neck reconstruction"],"prefix":"10.1186","volume":"4","author":[{"given":"Rita A","family":"Depprich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian D","family":"Naujoks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert R","family":"K\u00fcbler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg G","family":"Handschel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2008,11,24]]},"reference":[{"key":"130_CR1","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1097\/00006534-197901000-00012","volume":"63","author":"S Ariyan","year":"1979","unstructured":"Ariyan S: The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg. 1979, 63: 73-81.","journal-title":"Plast Reconstr Surg"},{"key":"130_CR2","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1097\/00006534-198302000-00009","volume":"71","author":"FE Barton Jr","year":"1983","unstructured":"Barton FE, Spicer TE, Byrd HS, Head and neck reconstruction with the latissimus dorsi myocutaneous flap: Anatomic observations and report of 60 cases. Plast Reconstr Surg. 1983, 71: 199-204. 10.1097\/00006534-198302000-00008.","journal-title":"Plast Reconstr Surg"},{"key":"130_CR3","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1097\/00006534-197703000-00008","volume":"59","author":"BC Mendelson","year":"1977","unstructured":"Mendelson BC, Woods JE, Masson JK: Experience with the deltopectoral flap. 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