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Donor site evaluation for fibula free flap transfer
1Division of Head and Neck Surgery, University of California Los Angeles School of Medicine, USA.
American Journal of Otolaryngology
|April 29, 1998
Summary
Preoperative vascular imaging is crucial for fibula flap transfer. It detects anomalies that physical exams miss, preventing complications like foot ischemia and ensuring successful oromandibular reconstruction.
Area of Science:
- Vascular Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- The necessity of routine preoperative angiography for fibula flap transfer is debated.
- Some surgeons believe it's unnecessary in asymptomatic patients with normal pulses.
Purpose of the Study:
- To determine the incidence of vascular anomalies impacting fibula flap harvest.
- To assess the value of preoperative vascular imaging in oromandibular reconstruction.
Main Methods:
- A retrospective review of 19 consecutive patients undergoing preoperative lower extremity vascular imaging.
- Evaluation for fibula free flap in oromandibular reconstruction.
Main Results:
- Vascular imaging altered surgical plans in 21% (4/19) of patients.
- Three patients were excluded due to vascular disease; one required contralateral flap selection due to anomalous peroneal artery dominance.
Conclusions:
- Preoperative vascular imaging is essential for fibula free flap transfer.
- It identifies congenital anomalies missed by physical examination, preventing critical complications like foot ischemia.