title: Preoperative MR angiography in free fibula flap transfer for head and neck cancer: clinical application and influence on surgical decision making.
abstract: OBJECTIVE
  We review the fibular free flap surgical procedure to illustrate the usefulness of preoperative lower limb MR angiography and to show how calf vascular anatomy on MR angiography affects patient surgical management.
  
  
  CONCLUSIONS
  With its high positive predictive value and sensitivity, preoperative MR angiography can improve the chances of a successful outcome at the recipient mandibular site. It provides the reconstructive surgeon with a road map, revealing vascular anomalies or disease that could alter or contraindicate surgery.
authors.affiliation: Department of Radiology, University of Michigan, University of Michigan Hospitals, B1 132 H Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0030, USA. ainekell@umich.edu
authors.forename: Aine M
authors.initials: AM
authors.lastname: Kelly
authors.forename: Paul
authors.initials: P
authors.lastname: Cronin
authors.forename: Hero K
authors.initials: HK
authors.lastname: Hussain
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Londy
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Chepeha
authors.forename: Ruth C
authors.initials: RC
authors.lastname: Carlos
mesh_terms: D000328:Adult; D003657:Decision Making; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation; D006258:Head and Neck Neoplasms / Q000098:blood supply / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome