Document Detail


Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure.
MedLine Citation:
PMID:  19358254     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Adam S Jacobson; Azita S Khorsandi; Daniel Buchbinder; Mark L Urken
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  119     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-26     Completed Date:  2009-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1085-7     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Institute for Head, Neck, and Thyroid Cancer, Beth Israel Medical Center, New York, New York, USA. ajacobson@chpnet.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Bone Transplantation*
Female
Humans
Intraoperative Complications / diagnosis*
Magnetic Resonance Angiography
Male
Mandibular Injuries / surgery*
Maxilla / injuries*
Melanoma / surgery*
Middle Aged
Nose / injuries*
Palatal Neoplasms / surgery*
Reoperation
Suicide, Attempted
Surgical Flaps / blood supply*
Tissue and Organ Harvesting*
Ultrasonography, Doppler
Venous Thrombosis / diagnosis*
Wounds, Gunshot / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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