<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-0558</journal-id>
<journal-title><![CDATA[Revista Española de Cirugía Oral y Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Cirug Oral y Maxilofac]]></abbrev-journal-title>
<issn>1130-0558</issn>
<publisher>
<publisher-name><![CDATA[ Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-05582023000400005</article-id>
<article-id pub-id-type="doi">10.20986/recom.2024.1484/2023</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The coupling device for venous anastomosis: a retrospective comparative study]]></article-title>
<article-title xml:lang="es"><![CDATA[El dispositivo coupler para anastomosis venosa: un estudio comparativo retrospectivo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pampín-Martínez]]></surname>
<given-names><![CDATA[Marta María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Martín-Moro]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Arias]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aragón-Niño]]></surname>
<given-names><![CDATA[Íñigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Losa-Muñoz]]></surname>
<given-names><![CDATA[Pedro Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morán-Soto]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cebrián-Carretero]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario La Paz Servicio de Cirugía Oral y Maxilofacial ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>45</volume>
<numero>4</numero>
<fpage>172</fpage>
<lpage>177</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-05582023000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-05582023000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-05582023000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The anastomosis is the most critical component of free tissue transfer in head and neck reconstruction. The classical hand-sewn technique ensures high success rates. Nonetheless, it is technically demanding. In the last decades, several alternatives have been proposed, of which the coupler device has undoubtedly demonstrated the best results. We aim to compare our experience in head and neck free tissue transfer either using the hand sewn technique (HSA) or the microvascular coupler device (MVCD)  Material and methods: A total of 89 patients met the inclusion criteria. Of these, 42 underwent the MVCD technique and 47 the HSA technique. Results in terms of flap loss and venous thrombosis were analysed.  Results: In the first group (HSA) 3 cases of venous thrombosis were found (6,3 %). On the other hand, in the second group (MVCD) 2 cases of venous thrombosis were found (4,7 %) and 4 flaps were lost (9,5 %). In the MVCD group, the coupler size most frequently used in the anastomosis was the 2 mm coupler device (60 %).  Conclusion: We found a lower rate of venous thrombosis in the MVCD group (4,7 % vs. 6,3 %). Nonetheless, the success rate in the HSA group regarding flap loss was higher (4,2 % vs. 9,5 % flap loss). Overall complication rate was 14,28 % in the MVCD group, compared to 14,89% in the HSA group. Interestingly, three of the four flaps lost in the MVCD group were used in reconstruction of maxillary defects (two FFF and one RFFF).]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La anastomosis es el componente más crítico de la microcirugía reconstructiva en cabeza y cuello. La técnica clásica de sutura a mano garantiza altas tasas de éxito. Sin embargo, es técnicamente exigente. En las últimas décadas se han propuesto varias alternativas, de las cuales el dispositivo coupler es sin duda el que ha demostrado mejores resultados. Nuestro objetivo es comparar nuestra experiencia en microcirugía de tejido de cabeza y cuello, ya sea utilizando la técnica de sutura a mano (HSA) o el dispositivo coupler microvascular (MVCD).  Material y métodos: Un total de 89 pacientes cumplieron los criterios de inclusión. De ellos, a 42 se les realizó la técnica MVCD y a 47 la técnica HSA. Se analizaron los resultados en términos de pérdida del colgajo y trombosis venosa.  Resultados: En el primer grupo (HSA) se encontraron 3 casos de trombosis venosa (6,3 %). Por otro lado, en el segundo grupo (MVCD) se encontraron 2 casos de trombosis venosa (4,7 %) y se perdieron 4 colgajos (9,5 %). En el grupo MVCD, el tamaño de acoplador más utilizado en la anastomosis fue el dispositivo acoplador de 2 mm (60 %).  Conclusión: Encontramos una menor tasa de trombosis venosa en el grupo MVCD (4,7 % vs. 6,3 %). No obstante, la tasa de éxito en el grupo HSA con respecto a la pérdida del colgajo fue mayor (4,2 % frente a 9,5 % de pérdida del colgajo). La tasa general de complicaciones fue del 14,28 % en el grupo MVCD, en comparación con el 14,89 % en el grupo HSA. Curiosamente, tres de los cuatro colgajos perdidos en el grupo MVCD se utilizaron en la reconstrucción de defectos maxilares (dos FFF y uno RFFF).]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Venous anastomosis]]></kwd>
<kwd lng="en"><![CDATA[coupling device]]></kwd>
<kwd lng="en"><![CDATA[microsurgery]]></kwd>
<kwd lng="en"><![CDATA[free flap reconstruction]]></kwd>
<kwd lng="es"><![CDATA[Anastomosis venosa]]></kwd>
<kwd lng="es"><![CDATA[dispositivo coupler]]></kwd>
<kwd lng="es"><![CDATA[microcirugía]]></kwd>
<kwd lng="es"><![CDATA[reconstrucción con colgajo libre]]></kwd>
</kwd-group>
</article-meta>
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