Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure
✍ Scribed by Adam S. Jacobson; Azita S. Khorsandi; Daniel Buchbinder; Mark L. Urken
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 97 KB
- Volume
- 119
- Category
- Article
- ISSN
- 0023-852X
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✦ Synopsis
Abstract
Objectives/Hypothesis:
The successful harvest and transplant of a fibular flap depends on many factors, including healthy inflow and outflow systems. A contraindication to harvesting a fibular flap is disease of the lower extremity arterial system; therefore, preoperative evaluation of the arterial system is routine. Preoperative evaluation of the venous system is not routine, unless there is clinical suspicion of venous disease.
Methods:
Retrospective chart review.
Results:
Two cases of occult deep venous thrombosis (DVT) were encountered intraoperatively resulting in nontransplantable flaps.
Conclusions:
This finding represents a serious concern, and we believe that venous imaging should be considered in patients with significant risk factors for harboring an occult DVT. Laryngoscope, 2009