Complete Bony Segment Flap Failure without Skin Paddle Compromise in Fibular Free Flap: A Case Report of a Rare Early Complication

Singh Hardeep; Jain Ankit; Jain Rahul; Mahendru Sanjay; Khazanchi Rakesh Kumar

doi:10.22467/jwmr.2022.02334

추천

검색

자료유형: 학술저널

저자정보: Singh Hardeep (Department of Plastic Reconstructive and Aesthetic Surgery Medanta-The Medicity Hospital Gurgaon In) Jain Ankit (Department of Plastic Reconstructive and Aesthetic Surgery Medanta-The Medicity Hospital Gurgaon In) Jain Rahul (Department of Plastic Reconstructive and Aesthetic Surgery Medanta-The Medicity Hospital Gurgaon In) Mahendru Sanjay (Department of Plastic Reconstructive and Aesthetic Surgery Medanta-The Medicity Hospital Gurgaon In) Khazanchi Rakesh Kumar (Department of Plastic Reconstructive and Aesthetic Surgery Medanta-The Medicity Hospital Gurgaon In)

저널정보: 대한창상학회 Journal of Wound Management and Research Journal of Wound Management and Research Vol.19 No.1

발행연도: 2023.2

수록면: 76 - 79 (4page)

DOI: 10.22467/jwmr.2022.02334

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

The free fibula flap is sometimes associated with partial flap loss. A 62-year-old man with squamous carcinoma of the lower alveolus underwent anterior arch resection and reconstruction with a fibula osteocutaneous flap containing three bony segments. There were two perforators in the skin flap; the first perforator was proximal to the bony segments and the other perforator was at the level of the middle segment. Atherosclerosis was observed in the anastomotic vessels. During surgery, thrombosis occurred in the arterial anastomosis, but was revised before the operation was over. The patient’s early postoperative course was uneventful. In the second week, purulent discharge was observed from the drains. Flap exploration showed devascularization of bony segments and periosteum, but the skin paddle was viable. The peroneal vessel had thrombosed distal to the takeoff of the proximal perforator and the viable skin paddle perfused by proximal perforators falsely indicated the well-being of underlying bones. The de-vascularized bones and sloughed periosteum were removed at the time of exploration, after which the skin paddle was reoriented for coverage of the defect. The patient completed chemoradiation without any bony reconstruction afterwards. This is the only reported case of early total bony flap portion loss with a viable skin paddle in free fibula flap transfer.

#Free fibula #Perforator flap #Periosteum #Case reports

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!