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Maxillofacial Plastic and Reconstructive Surgery
Figure 1 | Maxillofacial Plastic and Reconstructive Surgery

Figure 1

From: Microvascular autologous submandibular gland transplantation in severe cases of keratoconjunctivitis sicca

Figure 1

Surgical procedures of autologous microvascular submandibular gland transplantation. (A) Incision in the temporal region. (B) Dissection of the superficial temporal vessels. (C) Dissection of the facial artery and its accompanying vein. (D) Dissection of the Wharton’s duct and a cuff of mucosa around the opening. (E) Bleeding from the anterior facial vein which attached to the submandibular gland was observed to evaluate the state of venous drainage from the gland. (F) The submandibular gland was removed together with the facial vessels and Wharton’s duct. (G) Anastomosis of the vessels. (H) A nylon tube was inserted into the duct.

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