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Skull Base 2005; 15(3): 241-251
DOI: 10.1055/s-2005-872599
Published by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Graft Harvesting for Revascularization in the Head and Neck

Terence E. Johnson1 , John E. Wanebo2 , Stephen W. Bayles3 , Charles Y. Liu4
  • 1Department of Otolaryngology, Division of Neurosurgery, Naval Medical Center San Diego, San Diego, California
  • 2Department of Neurosciences, Division of Neurosurgery, Naval Medical Center San Diego, San Diego, California
  • 3Department of Otolaryngology, Virginia Mason Seattle Main Clinic, Seattle, Washington
  • 4Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California
Further Information

Publication History

Publication Date:
17 August 2005 (online)

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ABSTRACT

The techniques for revascularization in the neurocranium, skull base, and neck continue to evolve at an exciting pace. In this body of literature, however, techniques for harvesting radial artery and saphenous vein grafts are mainly reported using traditional open techniques. Minimally invasive procedures are fast becoming an alternative to open techniques in many fields and have the potential to become the standard of care. The cardiovascular literature is replete with reports of endoscopically harvested vascular grafts. This article reviews both methods, since the current state of the art involves knowledge of open and endoscopic harvesting techniques.

KEYWORDS

Radial artery - saphenous vein - graft - endoscopic harvest - microvascular

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Terence E JohnsonM.D. 

Department of Otolaryngology, Naval Medical Center San Diego

34520 Bob Wilson Dr., Ste. 200

San Diego, CA 92134-2200

Email: tejohnson@nmcsd.med.navy.mil