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Free fibular flap vascular pedicle calcification.

Muhitdin Eski1, Andac Aykan, Ismail Sahin

  • 1Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey.

The Journal of Craniofacial Surgery
|February 17, 2012
PubMed
Summary

Free fibular flaps are a common choice for reconstructing mandibular defects. This report details a rare complication: vascular pedicle calcification following this type of surgery.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Vascular Surgery

Background:

  • Segmental mandibular defects, caused by tumor resection, trauma, radiation, or congenital issues, require complex reconstruction.
  • Microvascular surgery enables the reconstruction of extensive mandibular defects.
  • Bony free-tissue transfer options include fibula, iliac, scapula, and radius grafts, with the free fibular flap being a preferred choice due to its advantages.

Observation:

  • This case report presents a rare complication observed after mandibular reconstruction using a free fibular flap.
  • The complication identified is vascular pedicle calcification.

Findings:

  • Vascular pedicle calcification is an uncommon but significant complication following free fibular flap reconstruction of the mandible.

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  • This finding highlights the need for vigilance regarding potential vascular complications in free flap surgery.

    • Implications:

    • Understanding and identifying rare complications like vascular pedicle calcification is crucial for improving patient outcomes in mandibular reconstruction.
    • Further research may be warranted to explore the incidence, risk factors, and management of vascular pedicle calcification in free flap surgery.
    • This case contributes to the existing literature on the potential complications associated with free fibular flaps in head and neck reconstruction.