Citation

Jacobson AS, Khorsandi AS, Buchbinder D, Urken ML. Laryngoscope 2009; 119(6): 1085-1087.

Copyright

(Copyright © 2009, Lippincott Williams and Wilkins)

DOI

10.1002/lary.20227

PMID

19358254

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.

Language: en

Keywords

Adult; Bone Transplantation; Female; Humans; Intraoperative Complications; Magnetic Resonance Angiography; Male; Mandibular Injuries; Maxilla; Melanoma; Middle Aged; Nose; Palatal Neoplasms; Reoperation; Suicide, Attempted; Surgical Flaps; Tissue and Organ Harvesting; Ultrasonography, Doppler; Venous Thrombosis; Wounds, Gunshot