Fibular free flap with arteria peronea magna: The role of preoperative balloon occlusion

Rahmel, Benjamin B., Snow, Thomas M. and Batstone, Martin D. (2011) Fibular free flap with arteria peronea magna: The role of preoperative balloon occlusion. Journal of Reconstructive Microsurgery, 27 3: 169-171. doi:10.1055/s-0030-1270531

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Author Rahmel, Benjamin B.
Snow, Thomas M.
Batstone, Martin D.
Title Fibular free flap with arteria peronea magna: The role of preoperative balloon occlusion
Journal name Journal of Reconstructive Microsurgery   Check publisher's open access policy
ISSN 0743-684X
1098-8947
Publication date 2011-03-01
Sub-type Article (original research)
DOI 10.1055/s-0030-1270531
Volume 27
Issue 3
Start page 169
End page 171
Total pages 3
Place of publication Chicago, IL, United States
Publisher Thieme Medical Publishers
Language eng
Abstract The free fibular osteocutaneous flap is a commonly used donor for reconstruction of mandibular defects. Vascular abnormalities and leg trauma are relative contraindications to the use of a fibular free flap. Peroneal arteria magna (PAM) is one such vascular abnormality that may preclude the use of the graft due to the high risk of lower-limb ischemia. Lower-limb angiography is the standard for assessing the lower-limb vascular anatomy; however, the indications remain controversial. Although balloon occlusion has been used to assess the vascular supply in distal bypass surgery, there have no reported cases of balloon occlusion to assess the viability of the distal extremity with PAM. Intraoperative assessment of vascular anatomy with an aborted harvest can lead to significant morbidity and cost. Balloon occlusion provides a relatively safe and minimally invasive technique for assessment of potential lower-limb ischemia in patients with PAM.
Keyword Fibular free flap
Reconstruction
Peroneal arteria magna
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Sun, 20 Mar 2011, 10:08:21 EST