Donor site angiography before mandibular reconstruction with fibula free flap.
The use of fibular free flaps has become established as a reliable and popular method for reconstruction of segmental mandibular defects. The role of routine preoperative angiography remains controversial. Sixty four digital subtraction angiograms were studied in a series of 39 consecutive patients clinically judged to be satisfactory candidates for fibula free transfer. Angiographic findings revealed vascular anomalies in 10 extremities (15.6%). Regarding the high potential for significant donor site morbidity authors consider vascular imaging essential part of preoperative evaluation.
Seres
L
L
Department of Oral and Maxillofacial Surgery, University of Szeged, Szeged, Hungary. seresl@yahoo.com
Csaszar
J
J
Voros
E
E
Borbely
L
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D016025:Bone Transplantation / Q000473:pathology*; D005260:Female; D005360:Fibula / Q000098:blood supply; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery; D008338:Mandibular Injuries / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D008875:Middle Aged; D011300:Preoperative Care; D016038:Skin Transplantation / Q000473:pathology*; D013524:Surgical Flaps / Q000098:blood supply*; D016909:Tibial Arteries / Q000000981:diagnostic imaging