Fibula Free Flap Salvage From 10-hour Prolonged Arterial Insufficiency and Venous Thrombosis.
J Craniofac Surg
; 32(5): e472-e473, 2021.
Article
en En
| MEDLINE
| ID: mdl-33427786
ABSTRACT
ABSTRACT Fibula free flaps are standard in facial reconstructions after head and neck cancer resection and typically have short flap ischemia times, often under 2 hours. Methods for short-term flap ischemia are characterized, but methods for extremely prolonged flap ischemia have not been well-described. We describe a 72-year-old patient who underwent composite floor of mouth and mandible resection with fibula free flap reconstruction. Patient intraoperative instability forced flap ischemia of over 10âhours with arterial insufficiency and venous thrombosis. Despite complicated and extremely prolonged ischemia, aggressive local and systemic anticoagulants with intraoperative leach therapy were still effective in flap salvage. The flap ultimately survived without necrosis. This case describes a method to guide surgeons faced with situations of forced, prolonged flap ischemia. Traditionally indicated in short-term ischemia, anticoagulation and leach methods can be effective for intraoperative treatment of extremely prolonged flap ischemia, arterial insufficiency, and venous thrombosis.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos de Cirugía Plástica
/
Trombosis de la Vena
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Colgajos Tisulares Libres
Límite:
Aged
/
Humans
Idioma:
En
Revista:
J Craniofac Surg
Asunto de la revista:
ODONTOLOGIA
Año:
2021
Tipo del documento:
Article