Advanced atherosclerosis of the vascular pedicle of radial forearm free flap in head and neck diabetic patient.
This study reports a case of severe atherosclerosis of the radial artery encountered during raising of a radial forearm free flap in a 56-year-old head and neck diabetic patient which precluded the use of the flap. This is a condition which most reconstructive surgeons are not aware of.
Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia. emildediol@yahoo.com
Emil
E
Dediol
Vedran
V
Uglešić
Igor
I
Cikara
D050197:Atherosclerosis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis*; D005500:Follow-Up Studies; D005542:Forearm / Q000098:blood supply / Q000601:surgery; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000473:pathology / Q000601:surgery; D037981:Neck Dissection / Q000379:methods; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000637:transplantation; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography