Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations
Background: Free fibula flap (FFF) is considered one of the viable options for complex mandibular defect reconstruction. Some branching variations of the popliteal artery contraindicate its harvest. Very few reports related to FFF harvest in Kim's type IIIA exist. Methods: A case of carcinoma t...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
|
| Series: | Oral Oncology Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772906024001444 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841553757864722432 |
|---|---|
| author | Dipmalya Chatterjee Ziaur Rahman Shishir Agrawal Akash Menon |
| author_facet | Dipmalya Chatterjee Ziaur Rahman Shishir Agrawal Akash Menon |
| author_sort | Dipmalya Chatterjee |
| collection | DOAJ |
| description | Background: Free fibula flap (FFF) is considered one of the viable options for complex mandibular defect reconstruction. Some branching variations of the popliteal artery contraindicate its harvest. Very few reports related to FFF harvest in Kim's type IIIA exist. Methods: A case of carcinoma tongue with mandibular involvement was planned for reconstruction with FFF. Intraoperative exploration showed absence of posterior tibial artery (PTA). A short segment of the fibula with a short pedicle was harvested. A reverse saphenous vein graft (RSVG) was utilized to reconstruct the dominant peroneal artery (dPR) and create an arterio-venous (A-V) loop in the neck. Post-operative CT angiography (CTA) was done to confirm the anomaly. Results: Post-operative pedal circulation was well maintained. No posterior compartment muscle necrosis was observed. CTA confirmed Kim's Type IIIA in the right leg and Type IIIC in the left. At three weeks the flap was viable and underwent revision surgery. Conclusion: In the Type IIIA popliteal branching pattern, mandible reconstruction could be successfully performed with FFF using vein graft without any ischemic complications in the flap or leg and foot. |
| format | Article |
| id | doaj-art-993412461f3b491388a822769db3c873 |
| institution | Kabale University |
| issn | 2772-9060 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral Oncology Reports |
| spelling | doaj-art-993412461f3b491388a822769db3c8732025-01-09T06:15:43ZengElsevierOral Oncology Reports2772-90602024-06-0110100298Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variationsDipmalya Chatterjee0Ziaur Rahman1Shishir Agrawal2Akash Menon3Department of Surgical Oncology, Balco Medical Centre, Naya Raipur, Chhattisgarh, 493661, IndiaDepartment of Surgical Oncology, Balco Medical Centre, Naya Raipur, Chhattisgarh, 493661, India; Corresponding author.Department of Radio Diagnosis, Balco Medical Centre, Naya Raipur, Chhattisgarh, 493661, IndiaDepartment of Surgical Oncology, Balco Medical Centre, Naya Raipur, Chhattisgarh, 493661, IndiaBackground: Free fibula flap (FFF) is considered one of the viable options for complex mandibular defect reconstruction. Some branching variations of the popliteal artery contraindicate its harvest. Very few reports related to FFF harvest in Kim's type IIIA exist. Methods: A case of carcinoma tongue with mandibular involvement was planned for reconstruction with FFF. Intraoperative exploration showed absence of posterior tibial artery (PTA). A short segment of the fibula with a short pedicle was harvested. A reverse saphenous vein graft (RSVG) was utilized to reconstruct the dominant peroneal artery (dPR) and create an arterio-venous (A-V) loop in the neck. Post-operative CT angiography (CTA) was done to confirm the anomaly. Results: Post-operative pedal circulation was well maintained. No posterior compartment muscle necrosis was observed. CTA confirmed Kim's Type IIIA in the right leg and Type IIIC in the left. At three weeks the flap was viable and underwent revision surgery. Conclusion: In the Type IIIA popliteal branching pattern, mandible reconstruction could be successfully performed with FFF using vein graft without any ischemic complications in the flap or leg and foot.http://www.sciencedirect.com/science/article/pii/S2772906024001444Popliteal arteryAngiographyOral cancerSegmental mandibulectomyMicrovascular flapFree fibula flap |
| spellingShingle | Dipmalya Chatterjee Ziaur Rahman Shishir Agrawal Akash Menon Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations Oral Oncology Reports Popliteal artery Angiography Oral cancer Segmental mandibulectomy Microvascular flap Free fibula flap |
| title | Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations |
| title_full | Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations |
| title_fullStr | Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations |
| title_full_unstemmed | Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations |
| title_short | Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations |
| title_sort | reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in type iiia popliteal artery branching variant a case report and review of popliteal artery branching variations |
| topic | Popliteal artery Angiography Oral cancer Segmental mandibulectomy Microvascular flap Free fibula flap |
| url | http://www.sciencedirect.com/science/article/pii/S2772906024001444 |
| work_keys_str_mv | AT dipmalyachatterjee reconstructionofneartotalglossectomyandsegmentalmandibulardefectwithfreefibulaflapintypeiiiapoplitealarterybranchingvariantacasereportandreviewofpoplitealarterybranchingvariations AT ziaurrahman reconstructionofneartotalglossectomyandsegmentalmandibulardefectwithfreefibulaflapintypeiiiapoplitealarterybranchingvariantacasereportandreviewofpoplitealarterybranchingvariations AT shishiragrawal reconstructionofneartotalglossectomyandsegmentalmandibulardefectwithfreefibulaflapintypeiiiapoplitealarterybranchingvariantacasereportandreviewofpoplitealarterybranchingvariations AT akashmenon reconstructionofneartotalglossectomyandsegmentalmandibulardefectwithfreefibulaflapintypeiiiapoplitealarterybranchingvariantacasereportandreviewofpoplitealarterybranchingvariations |