The use of magnetic resonance angiography prior to pharyngeal flap surgery in patients with velocardiofacial syndrome

Robin J. Mitnick, Jacqueline A. Bello, Karen J. Golding-Kushner, Ravelo V. Argamaso, Robert J. Shprintzen

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Twenty consecutive patients with velocardiofacial syndrome underwent magnetic resonance angiography (MRA) to determine if abnormalities of the neck arteries would contraindicate pharyngeal flap surgery. All 20 patients were found to have anomalies of the carotid arteries, vertebral arteries, or both. Anomalies included tortuous or kinked vertebral arteries, medially placed internal carotids, low carotid bifurcations, and tortuous or kinked internal carotids. The internal carotids were found to be almost directly under the mucous membrane of the pharynx in two patients. In these two patients, the arteries were close to the pharyngeal midline at the base of the first cervical vertebra and might easily be severed during the raising of a pharyngeal flap. Hypoplastic vertebral arteries also were found. One patient had an extra neck vessel. The anomalies of the internal carotids did not have a strong correlation with endoscopically observed pulsations in the posterior pharyngeal wall. It also was found that head position affected the location of the inferred carotid arteries when they were located close to the pharyngeal mucous membrane. The information provided in the MRA studies allowed assessment of the arterial anomalies in relation to the flap donor site so that the patients in the sample who underwent pharyngeal flap surgery using a short superiorly based flap had no major bleeding complications.

Original languageEnglish (US)
Pages (from-to)908-919
Number of pages12
JournalPlastic and Reconstructive Surgery
Volume97
Issue number5
StatePublished - Apr 1996

Fingerprint

DiGeorge Syndrome
Magnetic Resonance Angiography
Vertebral Artery
Carotid Arteries
Mucous Membrane
Neck
Arteries
Cervical Vertebrae
Pharynx
Head
Tissue Donors
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

The use of magnetic resonance angiography prior to pharyngeal flap surgery in patients with velocardiofacial syndrome. / Mitnick, Robin J.; Bello, Jacqueline A.; Golding-Kushner, Karen J.; Argamaso, Ravelo V.; Shprintzen, Robert J.

In: Plastic and Reconstructive Surgery, Vol. 97, No. 5, 04.1996, p. 908-919.

Research output: Contribution to journalArticle

Mitnick, Robin J. ; Bello, Jacqueline A. ; Golding-Kushner, Karen J. ; Argamaso, Ravelo V. ; Shprintzen, Robert J. / The use of magnetic resonance angiography prior to pharyngeal flap surgery in patients with velocardiofacial syndrome. In: Plastic and Reconstructive Surgery. 1996 ; Vol. 97, No. 5. pp. 908-919.
@article{1e79258767344b7c8f4c02e3ce1dc5fc,
title = "The use of magnetic resonance angiography prior to pharyngeal flap surgery in patients with velocardiofacial syndrome",
abstract = "Twenty consecutive patients with velocardiofacial syndrome underwent magnetic resonance angiography (MRA) to determine if abnormalities of the neck arteries would contraindicate pharyngeal flap surgery. All 20 patients were found to have anomalies of the carotid arteries, vertebral arteries, or both. Anomalies included tortuous or kinked vertebral arteries, medially placed internal carotids, low carotid bifurcations, and tortuous or kinked internal carotids. The internal carotids were found to be almost directly under the mucous membrane of the pharynx in two patients. In these two patients, the arteries were close to the pharyngeal midline at the base of the first cervical vertebra and might easily be severed during the raising of a pharyngeal flap. Hypoplastic vertebral arteries also were found. One patient had an extra neck vessel. The anomalies of the internal carotids did not have a strong correlation with endoscopically observed pulsations in the posterior pharyngeal wall. It also was found that head position affected the location of the inferred carotid arteries when they were located close to the pharyngeal mucous membrane. The information provided in the MRA studies allowed assessment of the arterial anomalies in relation to the flap donor site so that the patients in the sample who underwent pharyngeal flap surgery using a short superiorly based flap had no major bleeding complications.",
author = "Mitnick, {Robin J.} and Bello, {Jacqueline A.} and Golding-Kushner, {Karen J.} and Argamaso, {Ravelo V.} and Shprintzen, {Robert J.}",
year = "1996",
month = "4",
language = "English (US)",
volume = "97",
pages = "908--919",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - The use of magnetic resonance angiography prior to pharyngeal flap surgery in patients with velocardiofacial syndrome

AU - Mitnick, Robin J.

AU - Bello, Jacqueline A.

AU - Golding-Kushner, Karen J.

AU - Argamaso, Ravelo V.

AU - Shprintzen, Robert J.

PY - 1996/4

Y1 - 1996/4

N2 - Twenty consecutive patients with velocardiofacial syndrome underwent magnetic resonance angiography (MRA) to determine if abnormalities of the neck arteries would contraindicate pharyngeal flap surgery. All 20 patients were found to have anomalies of the carotid arteries, vertebral arteries, or both. Anomalies included tortuous or kinked vertebral arteries, medially placed internal carotids, low carotid bifurcations, and tortuous or kinked internal carotids. The internal carotids were found to be almost directly under the mucous membrane of the pharynx in two patients. In these two patients, the arteries were close to the pharyngeal midline at the base of the first cervical vertebra and might easily be severed during the raising of a pharyngeal flap. Hypoplastic vertebral arteries also were found. One patient had an extra neck vessel. The anomalies of the internal carotids did not have a strong correlation with endoscopically observed pulsations in the posterior pharyngeal wall. It also was found that head position affected the location of the inferred carotid arteries when they were located close to the pharyngeal mucous membrane. The information provided in the MRA studies allowed assessment of the arterial anomalies in relation to the flap donor site so that the patients in the sample who underwent pharyngeal flap surgery using a short superiorly based flap had no major bleeding complications.

AB - Twenty consecutive patients with velocardiofacial syndrome underwent magnetic resonance angiography (MRA) to determine if abnormalities of the neck arteries would contraindicate pharyngeal flap surgery. All 20 patients were found to have anomalies of the carotid arteries, vertebral arteries, or both. Anomalies included tortuous or kinked vertebral arteries, medially placed internal carotids, low carotid bifurcations, and tortuous or kinked internal carotids. The internal carotids were found to be almost directly under the mucous membrane of the pharynx in two patients. In these two patients, the arteries were close to the pharyngeal midline at the base of the first cervical vertebra and might easily be severed during the raising of a pharyngeal flap. Hypoplastic vertebral arteries also were found. One patient had an extra neck vessel. The anomalies of the internal carotids did not have a strong correlation with endoscopically observed pulsations in the posterior pharyngeal wall. It also was found that head position affected the location of the inferred carotid arteries when they were located close to the pharyngeal mucous membrane. The information provided in the MRA studies allowed assessment of the arterial anomalies in relation to the flap donor site so that the patients in the sample who underwent pharyngeal flap surgery using a short superiorly based flap had no major bleeding complications.

UR - http://www.scopus.com/inward/record.url?scp=0029877271&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029877271&partnerID=8YFLogxK

M3 - Article

VL - 97

SP - 908

EP - 919

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 5

ER -