PMC4555959_01
Transected facial vein dissected to be used as a free vein graft
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F1
It was decided to dissect the facial vein and use it as a free vein graft for lengthening the proximal segment of the duct [Figures 1 and 2].
Transected facial vein over the stent
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F2
It was decided to dissect the facial vein and use it as a free vein graft for lengthening the proximal segment of the duct [Figures 1 and 2].
Stensen's duct lengthened using facial vein graft
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F3
Venous graft was anastomosed with the parotid duct with 10-0 nylon using a surgical microscope [Figures 3 and 4].
Vein graft sutured to the proximal stump of Stensen's duct
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F4
Venous graft was anastomosed with the parotid duct with 10-0 nylon using a surgical microscope [Figures 3 and 4].
Wound closure in layers
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F5
An 18-gauge intracath was used as a stent to support the graft [Figures 5 and 6].
Reconstructed Stensen's duct
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F6
An 18-gauge intracath was used as a stent to support the graft [Figures 5 and 6].
Intraoral fixation of the graft over a stent
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F7
This was pulled intraorally and transfixed with 3-0 silk [Figures 7 and 8].
Closure
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F8
This was pulled intraorally and transfixed with 3-0 silk [Figures 7 and 8].
Two weeks post-operative
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F9
A suction drain was placed and the wound was closed in layers [Figure 9].