[Donor site sequela of class III B vascular anomaly following reconstruction of the mandible with free osteoseptocutaneous fibula flap: a case report].
Free transfer of the fibula for mandibular reconstruction provides desirable functional and aesthetic results. However, unexpected donor- and recipient-site complications may be encountered with most free flap transfer procedures. A 62-year-old woman underwent wide resection and segmental mandibulectomy for low-grade squamous cell carcinoma of intraoral location. Reconstruction of the defect was performed at the same session with an osteoseptocutaneous free flap from the right fibula. A class III B vascular malformation was detected intraoperatively at the donor site, which resulted in restriction of foot inversion and abduction, and of toe extension during the follow-up.
Kuvat
Samet Vasfi
SV
Department of Plastic and Reconstructive Surgery, Medicine Faculty of Istanbul University, Istanbul, Turkey. sametkuvat@yahoo.com
Hafiz
Günter
G
Kabakaş
Fatih
F
Aydin
Atakan
A
Okumuş
Ayhan
A
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000601:surgery / Q000637:transplantation*; D006801:Humans; D007431:Intraoperative Complications; D007866:Leg / Q000098:blood supply; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D054079:Vascular Malformations / Q000150:complications