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One of the most difficult problems in head and neck reconstructive surgery is the long duration. Especially, microvascular anastomotic surgical procedures take most of the time. We use the VCS clip for microvascular anastomosis under microscope and report the technique in this article. This technique is easier and faster than the suture technique in the anastomosis of vessels of larger than 2 mm in diameter. The VCS clips have potential applications for many other surgeries of the head and neck, and more studies need to be done.

Recently, the anchors have been become much smaller. This has made anchor useful in head and neck surgery.Sometimes it is difficult to fix soft tissue to bone in head and neck surgery. The most important point is long-time holding strength for the fixation of soft tissue to bone. We have used suture anchor in reconstruction of skull base and reconstruction of neck following radical neck dissection. These techniques are discussed in this paper. Suture anchors have potential applications for many other surgeries of head and neck. More study needs to be done.

女性の副咽頭腫瘍2例に対して若干工夫した外切開法により腫瘍を摘出したので, その手術手技を報告した。症例1は53歳の迷走神経由来神経鞘腫, また症例2は19歳の横紋筋肉腫であった。いずれも外頭蓋底付近に達する大きさであり, 下顎離断を行い術野を確保する必要があったが, 顔面に醜形を残さないで種々の機能を温存するように努めた。副咽頭腫瘍に対する手術的アプローチは腫瘍の位置・大きさ・性状に加えて患者の社会的背景をも考慮して, 症例ごとに検討すべきである。