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Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle

The free osteocutaneous fibula flap is an established method of reconstruction of maxillary and mandibular defects. The vascularity of the skeletal and the cutaneous components is provided by the peroneal artery via the nutrient artery and the septo- and musculocutaneous perforators. In rare situati...

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Detalles Bibliográficos
Autores principales: Yadav, Prabha S., Ahmad, Quazi G., Shankhdhar, Vinay Kant, Nambi, G. I.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845378/
https://www.ncbi.nlm.nih.gov/pubmed/20368871
http://dx.doi.org/10.4103/0970-0358.59295
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author Yadav, Prabha S.
Ahmad, Quazi G.
Shankhdhar, Vinay Kant
Nambi, G. I.
author_facet Yadav, Prabha S.
Ahmad, Quazi G.
Shankhdhar, Vinay Kant
Nambi, G. I.
author_sort Yadav, Prabha S.
collection PubMed
description The free osteocutaneous fibula flap is an established method of reconstruction of maxillary and mandibular defects. The vascularity of the skeletal and the cutaneous components is provided by the peroneal artery via the nutrient artery and the septo- and musculocutaneous perforators. In rare situations, these perforators may arise from other major leg arteries. In such circumstances, the procedure has to be either abandoned or modified so that neither the vascularity of the flap nor the donor limb is compromised. We present a case of an anomalous musculocutaneous perforator, which originated from the proximal part of the posterior tibial artery, passed through the soleus muscle and supplied the skin paddle. The flap was elevated as a single composite unit and was managed by two separate vascular anastomosis at the recipient site, one for the peroneal vessels and the other for the anomalous perforator.
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spelling pubmed-28453782010-04-05 Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle Yadav, Prabha S. Ahmad, Quazi G. Shankhdhar, Vinay Kant Nambi, G. I. Indian J Plast Surg Case Report The free osteocutaneous fibula flap is an established method of reconstruction of maxillary and mandibular defects. The vascularity of the skeletal and the cutaneous components is provided by the peroneal artery via the nutrient artery and the septo- and musculocutaneous perforators. In rare situations, these perforators may arise from other major leg arteries. In such circumstances, the procedure has to be either abandoned or modified so that neither the vascularity of the flap nor the donor limb is compromised. We present a case of an anomalous musculocutaneous perforator, which originated from the proximal part of the posterior tibial artery, passed through the soleus muscle and supplied the skin paddle. The flap was elevated as a single composite unit and was managed by two separate vascular anastomosis at the recipient site, one for the peroneal vessels and the other for the anomalous perforator. Medknow Publications 2009 /pmc/articles/PMC2845378/ /pubmed/20368871 http://dx.doi.org/10.4103/0970-0358.59295 Text en © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yadav, Prabha S.
Ahmad, Quazi G.
Shankhdhar, Vinay Kant
Nambi, G. I.
Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
title Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
title_full Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
title_fullStr Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
title_full_unstemmed Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
title_short Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
title_sort successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845378/
https://www.ncbi.nlm.nih.gov/pubmed/20368871
http://dx.doi.org/10.4103/0970-0358.59295
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