Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy
Summary:. When squamous cell carcinoma necessitates mandibular resection, the resultant defect can be complex. An osteocutaneous fibula free flap is an effective reconstruction option, typically supplied by the peroneal artery for both the fibula and skin flap. In this case report, an anatomical var...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006443 |
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| author | Augustine J. Deering, III, BS Payden A. Harrah, BS Brian Wong Won, MD John Michael Austin, BS Mustafa T. Khan, DO Jay K. Ferrell, MD C. Anton Fries, MD, PhD |
| author_facet | Augustine J. Deering, III, BS Payden A. Harrah, BS Brian Wong Won, MD John Michael Austin, BS Mustafa T. Khan, DO Jay K. Ferrell, MD C. Anton Fries, MD, PhD |
| author_sort | Augustine J. Deering, III, BS |
| collection | DOAJ |
| description | Summary:. When squamous cell carcinoma necessitates mandibular resection, the resultant defect can be complex. An osteocutaneous fibula free flap is an effective reconstruction option, typically supplied by the peroneal artery for both the fibula and skin flap. In this case report, an anatomical variation was found: the skin paddle was supplied by soleus musculocutaneous perforators of the posterior tibial artery, whereas the fibula was supplied by the peroneal artery. The posterior tibial artery perforator vessels from the skin paddle were anastomosed to the distal end of the peroneal vessels. The peroneal vessels were anastomosed to the left superior thyroid artery and a branch of the internal jugular vein, with confirmation of adequate blood flow via implantable Doppler signal. Septocutaneous perforators from the peroneal artery are absent in 5%–10% of the population; thus, an approach to anomalous vasculature in the setting of fibula free flap harvest that decreases morbidity and multiple operations is valuable. |
| format | Article |
| id | doaj-art-497d05ed90c34129a0a6c0608ff13e02 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-497d05ed90c34129a0a6c0608ff13e022025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e644310.1097/GOX.0000000000006443202501000-00028Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular AnatomyAugustine J. Deering, III, BS0Payden A. Harrah, BS1Brian Wong Won, MD2John Michael Austin, BS3Mustafa T. Khan, DO4Jay K. Ferrell, MD5C. Anton Fries, MD, PhD6From the * Division of Plastic and Reconstructive Surgery, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TXFrom the * Division of Plastic and Reconstructive Surgery, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX† Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center San Antonio, San Antonio, TXFrom the * Division of Plastic and Reconstructive Surgery, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX‡ Division of General Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX§ Department of Otolaryngology, University of Texas Health Science Center San Antonio, San Antonio, TX.† Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center San Antonio, San Antonio, TXSummary:. When squamous cell carcinoma necessitates mandibular resection, the resultant defect can be complex. An osteocutaneous fibula free flap is an effective reconstruction option, typically supplied by the peroneal artery for both the fibula and skin flap. In this case report, an anatomical variation was found: the skin paddle was supplied by soleus musculocutaneous perforators of the posterior tibial artery, whereas the fibula was supplied by the peroneal artery. The posterior tibial artery perforator vessels from the skin paddle were anastomosed to the distal end of the peroneal vessels. The peroneal vessels were anastomosed to the left superior thyroid artery and a branch of the internal jugular vein, with confirmation of adequate blood flow via implantable Doppler signal. Septocutaneous perforators from the peroneal artery are absent in 5%–10% of the population; thus, an approach to anomalous vasculature in the setting of fibula free flap harvest that decreases morbidity and multiple operations is valuable.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006443 |
| spellingShingle | Augustine J. Deering, III, BS Payden A. Harrah, BS Brian Wong Won, MD John Michael Austin, BS Mustafa T. Khan, DO Jay K. Ferrell, MD C. Anton Fries, MD, PhD Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy Plastic and Reconstructive Surgery, Global Open |
| title | Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy |
| title_full | Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy |
| title_fullStr | Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy |
| title_full_unstemmed | Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy |
| title_short | Chimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy |
| title_sort | chimeric osteocutaneous free flap solution to variation in vascular anatomy |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006443 |
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