This procedure depicts the microvascular anastomosis between the free anterolateral thigh (ALT) flap and the superficial temporal artery (STA) and superficial temporal vein (STV).
Deep Inferior Epigastric Perforator Flap: Microvascular Anastomosis and Neurotization This video depicts the microvascular anastomosis of the deep inferior epigastric artery and vein to the internal mammary artery and vein in an anterograde fashion for a delayed bilateral deep inferior epigastric perforator (DIEP) flap reconstruction in a 53-year-old female patient status post bilateral mastectomy for breast cancer. Authors: Vincent Riccelli M.D., Eva Niklinska B.S., Ashkan Afshari M.D., Stephane Braun M.D., Kent K. Higdon M.D., Galen Perdikis M.D., Julian Winocour M.D. Affiliations: Vanderbilt University Medical Center Corresponding Author: Eva Niklinska
Contributors: Fadi Sweiss Microvascular decompression is the most effective surgical procedure for treating trigeminal neuralgia in patients with classic symptoms. Here we present a patient who had a "duo crush" from both a vein, as well as a loop of the superior cerebellar artery. The key maneuvers to create space between the compressive element and the nerve, in order to secure the teflon "cushion," are highlighted. DOI: https://doi.org/10.17797/qgthi9k07c
Contributors: Daniel R. Felbaum Microvascular decompression is the most effective surgical procedure for treating trigeminal neuralgia in patients with classic symptoms. The most frequent compressive force is the superior cerebellar artery. Here we demonstrate the procedure in a patient with long-standing, classic symptoms of trigeminal neuralgia, in whom we discovered compression from venous structures. DOI# http://dx.doi.org/10.17797//henaevqy2g
This video demonstrates the cadaveric harvest of the internal mammary artery and vein for use in head and neck microvascular reconstruction.
- Associate Program Director of Plastic Surgery
- Northwell Health
- Associate Professor of Plastic Surgery
- Hofstra Northwell School of Medicine
Dr. Neil Tanna is a Double Board Certified Plastic Surgeon with clinical interest in cosmetic and reconstructive surgery. He is among a very small group of Plastic Surgeons in the world to have completed formal training in Otolaryngology, Plastic & Reconstructive Surgery, and Microvascular Surgery.
After receiving his medical degree from Albany Medical College, Dr. Tanna completed a full Otolaryngology – Head & Neck Surgery residency at The George Washington University. He pursued further training and completed a second full residency in Plastic & Reconstructive Surgery at the University of California, Los Angeles (UCLA). He then completed a fellowship in advanced reconstructive and microvascular surgery at the Institute of Reconstructive Plastic Surgery at New York University (NYU).
Beyond his plastic surgery clinical practice, Dr. Neil Tanna is a mentor, respected educator, and prolific author. Currently, he serves in many leadership roles. He is Chief of Plastic Surgery at one of the one of the Northwell Health hospitals. He is an Associate Professor with the Hofstra University School of Medicine, where he is engaged in the education of students. He also serves as Associate Program Director for the Plastic Surgery Residency with Northwell Health System. He trains resident physicians in becoming Plastic Surgeons.
The medical work and clinical research of Dr. Neil Tanna have been widely published in national and international medical journals. He has authored over 75 publications in major peer-reviewed medical journals and written over 10 textbook chapters. Given his interest in aesthetic and reconstructive surgery of the head and neck, breast, and body, Dr. Tanna has been invited to present at over 75 national and international meetings. He presents the latest advances in plastic surgery to his colleagues and other surgeons from all around the world.
Dr. Neil Tanna has been recognized in the 2015 and 2016 New York Times Super Doctors List for his noteworthy and outstanding achievements.
Come learn more about the jobs of Otolaryngologists (also known as ENT doctors!). We will discuss the breadth and depth of what ENT doctors cover with case descriptions. Medical students and residents of different levels will be on a panel to answer questions about the journey to and through Otolaryngology residency.
Otolaryngology Head and Neck Surgery / Resident Physician, PGY 5
Loyola University Medical Center
Dr Yang grew up in the arid and desert like climate of Eastern Washington before spending four years in rainy Seattle during her undergrad years, majoring in Neurobiology at the University of Washington. She then moved to sunny Southern California to complete her medical education at Loma Linda University School of Medicine. She is currently finishing her chief year of Otolaryngology Head and Neck Surgery residency at Loyola University Medical Center in Chicago, enjoying both life in the Windy City and surviving the cold winters. She recently matched to fellowship at Oregon Health and Science University in Facial Plastics and Reconstruction with Dr. Wax to specialize in microvascular reconstruction of complex head and neck defects. She is excited to return to the west coast and explore all the nature that Oregon has to offer.
University of Nebraska Medical Center
Steven is originally from San Diego, CA and attended the University of Notre Dame where he studied anthropology. He then earned a master's degree at Boston University and completed a year of service with Jesuit Volunteer Corps Northwest in Yakima, WA. Steven recently graduated from Loyola University Chicago Stritch School of Medicine and will be starting otolaryngology residency at the University of Nebraska Medical Center.
Loyola University Chicago Stritch School of Medicine
Alice is originally from San Jose, CA and attended UC Berkeley where she studied Molecular and Cell Biology as well as Nutrition. She is starting her fourth year at Loyola University Chicago Stritch School of Medicine, and preparing to apply for otolaryngology residency.
Loyola University Medical Center Otolaryngology Head and Neck Surgery Department
Dr. Sandelski grew up in Northwest Indiana, leaving the state for undergrad at the University of Michigan, and returning for medical school at Indiana University School of Medicine. She is in her second year at Loyola for ENT residency. She is undecided for plans after residency, with current interests in head and neck oncology and facial plastics and reconstruction.
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