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Resume Introduction Les vaisseaux temporaux superficiels restent actuellement sous-exploites en microchirurgie, la veine temporale superficielle (VTS) ayant ete rapportee inconstante. L’objectif de cette etude etait donc de preciser les caracteristiques anatomiques du systeme veineux temporal superficiel par le biais d’une etude anatomique cadaverique et d’une etude echo-Doppler sur sujets sains. Materiels et methodes Afin d’etudier les variations anatomiques de la VTS et de ses differentes branches au niveau de la region temporo-parietale, 10 hemifaces de corps donnes a la science ont ete injectees au latex et dissequees. Une etude echo-Doppler du reseau veineux temporal superficiel a egalement ete realisee chez 10 sujets sains afin d’objectiver le diametre median de la VTS. Resultats Un tronc veineux temporo-parietal commun a ete retrouve chez tous les corps disseques, avec un nombre moyen de 1,6 [1] , [2] , [3] affluents veineux. La VTS precedait systematiquement l’artere temporale superficielle (ATS) en region pre-auriculaire. Les rapports arterio-veineux etaient en revanche variables en amont de cette region. Le diametre de la VTS presentait d’importantes variations interindividuelles, avec un diametre median de 1,3 mm [0,5–2]. Conclusion Les vaisseaux temporaux superficiels sont aisement reperables en region pre-auriculaire. Avec une longueur exploitable moyenne de 6,5 cm et diametre median de 1,3 mm, la branche parietale de la VTS presente un calibre suffisant a la realisation des anastomoses vasculaires.

Objective Free anterolateral thigh flap has many applications in head and neck reconstruction surgery. The aims of the present study were: (1) to assess functional and esthetic sequelae of harvesting for oncologic purposes; and (2) to assess long-term impact of harvesting on quality of life according to patient and to physician. Materials and methods Forty-one patients undergoing reconstruction by free anterolateral thigh flap following oncologic head and neck surgery were assessed by questionnaire at > 6 months postoperatively. Donor site sequelae were assessed in consultation. Harvesting impact was assessed on 5-point Likert scales by patient and by surgeon. Results Thirty nine percent of patients showed ≥ 1 sequelae. Donor site sequela impact on sport, daily living and work was assessed by patients as none or mild in 94%, 98% and 100% of cases, respectively. Sixty-one percent of patients and 58.5% of surgeons considered scar esthetics to be discreet or very discreet. Conclusion Morbidity related to anterolateral thigh flap harvesting was low, and functional sequelae at the donor site were well tolerated. The scar was only moderately satisfactory, but could easily be hidden.

Summary Introduction The consequences on the cervicofacial venous circulation of major cervicofacial vein ligations are poorly known. We aimed to highlight by using Doppler Ultrasound flow differences in the cervicofacial venous network in the case of unilateral or bilateral ligation of main venous collector trunks (external jugular vein [EJV] and internal jugular vein [IJV]) Methods A Doppler ultrasound was performed on 10 healthy volunteers, 8 patients with previous bilateral ligation of the EJV, 8 with a unilateral ligation of the EJV, and 8 with a unilateral ligation of the EJV and IJV, after modified radical neck dissection. The diameter, the flow direction and the peak systolic velocity (PSV) of the superficial temporal vein, the facial vein (FV) and the IJV were measured. Results Healthy patients had a similar right and left PSV for all the veins studied, with always antegrade flows. Patients with previous ligations had some significant right/left differences and retrograde flows. Conclusion A redistribution of venous blood flow on the contralateral side of the face and neck seems to take place in the case of unilateral ligation of the EJV and/or IJV. Retrograde flows are sometimes observed in the case of previous ligation of the EJV and/or IJV and might compromise the success of venous microanastomoses.