Donor site evaluation for fibula free flap transfer

American Journal of Otolaryngology
K E Blackwell

Abstract

The role of routine preoperative angiography in patients undergoing fibula flap transfer remains controversial. A recent survey of experienced microvascular surgeons indicated that routine angiography may be unnecessary in patients with no symptoms of peripheral vascular disease and normal lower extremity pulses. To study the necessity of performing preoperative vascular imaging studies, the incidence of congenital and acquired vascular anomalies that prevented the harvest of a fibula flap is reported in a series of patients undergoing evaluation for oromandibular reconstruction A series of 19 consecutive patients who underwent preoperative lower extremity vascular imaging studies in anticipation of performing a fibula free flap is presented. Angiographic findings significantly altered the surgical reconstruction that was performed in 4 of 19 (21%) patients. Three patients with a history or examination suggestive of peripheral vascular disease were excluded on the basis of the findings at the time of radiographic study. In a fourth patient, the contralateral leg was used for reconstruction when preoperative angiography showed a dominant peroneal artery supplying the foot in the extremity initially considered for flap harvest. H...Continue Reading

References

May 1, 1990·Annals of Vascular Surgery·M P LillyW I Carney
Jul 1, 1990·British Journal of Plastic Surgery·T E GoodacreM D Brough
Nov 1, 1984·Radiology·D A WolfelD L Sommerville
Nov 1, 1995·Clinical Radiology·V G McDermottM D Schnall
Sep 1, 1994·Journal of Reconstructive Microsurgery·D M YoungJ P Anthony
Aug 1, 1993·American Journal of Surgery·T YamadaS W Carmichael
Jul 1, 1996·Archives of Otolaryngology--head & Neck Surgery·W R Carroll, R Esclamado

❮ Previous
Next ❯

Citations

Sep 1, 2006·Mund-, Kiefer- und Gesichtschirurgie : MKG·Alexander GagglFriedrich Chiari
Jan 31, 2004·Current Oncology Reports·Emre Vural
Apr 23, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Takuya IidaIsao Koshima
Feb 1, 2003·Plastic and Reconstructive Surgery·Steven KleinMichiel Lagerweij
Jan 28, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Douglas R SidellMaie A St John
Apr 9, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Tommy WilkmanPatrik Lassus
Jun 13, 2012·Journal of Plastic Surgery and Hand Surgery·Emil DediolIgor Cikara
Jan 10, 2013·Otolaryngologia polska. The Polish otolaryngology·Piotr TrojanowskiJanusz Klatka
Aug 20, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Cesare PiazzaPiero Nicolai
May 23, 2017·Journal of Stomatology, Oral and Maxillofacial Surgery·R GryseleynJ Ferri
Nov 17, 2001·The Journal of Craniofacial Surgery·L SeresL Borbely
Mar 4, 2000·Plastic and Reconstructive Surgery·P PelissierJ Baudet
Mar 24, 2004·Microsurgery·Yvonne L KaranasJames Chang
Jun 30, 2018·Microsurgery·Jessica PrasadAnthony C Nichols
Jan 19, 2007·Plastic and Reconstructive Surgery·Stephen M WarrenJohn W Siebert
Sep 27, 2007·Journal of Computer Assisted Tomography·Kwang Nam JinJae Hyung Park
Jul 20, 2005·Archives of Facial Plastic Surgery·Lance Oxford, Yadranko Ducic
Jul 20, 2005·Archives of Facial Plastic Surgery·Mark K Wax
Jun 6, 2019·The Journal of Craniofacial Surgery·Edoardo BraunerValentino Valentini
Jun 4, 2014·The Journal of Craniofacial Surgery·Xiao-Feng ShanJie Zhang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.