title: Major donor area complication after a mandibular reconstruction with an osseous fibular free flap:  pseudo-compartment syndrome.
abstract: The popularity of the fibular free flap in mandibular reconstructions is persisting, and major donor area complications rarely occur after fibular free flap operations. Still, we have observed a pseudo-compartment syndrome in a 52-year-old patient on the 12th postoperative day after a mandibular reconstruction with a fibular free flap. When an obstruction in the deep venous system (deep vein thrombosis) was observed in the Doppler ultrasound-guided imaging, the patient has been taken to the operating room for an emergency surgery and the donor area has been completely reopened (in the manner of a fasciotomy). After this procedure, the circulation in the foot appeared to return to normal. The exposed muscles of the patient, who was started on a low-molecular-weight heparin treatment for the deep vein thrombosis, have been closed with skin grafts on the 10th day. No functional loss was observed during the 2-month follow-up period.
authors.affiliation: Department of Plastic and Reconstructive Surgery, İstanbul Medical Faculty, İstanbul University, İstanbul, Turkey. sametkuvat@yahoo.com
authors.forename: Samet Vasfi
authors.initials: SV
authors.lastname: Kuvat
authors.forename: Barş
authors.initials: B
authors.lastname: Keklik
authors.forename: Burcu Celet
authors.initials: BC
authors.lastname: Özden
authors.forename: Adem
authors.initials: A
authors.lastname: Uçar
authors.forename: Orhan
authors.initials: O
authors.lastname: Cizmeci
mesh_terms: D000564:Ameloblastoma / Q000601:surgery*; D000925:Anticoagulants / Q000627:therapeutic use; D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery; D000071938:Fasciotomy; D005360:Fibula / Q000637:transplantation*; D058752:Free Tissue Flaps; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D020246:Venous Thrombosis / Q000601:surgery
chemical_list: D000925:Anticoagulants