Wang Jianning, Wang Cheng
Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China.
J Craniofac Surg. 2011 May;22(3):1100-2. doi: 10.1097/SCS.0b013e3182107731.
The free fibula osteocutaneous flap has been widely used in the reconstruction of facial bone, especially the mandible. Donor-site morbidity for free fibula osteocutaneous flap is generally considered to be low and minor. However, a severe and rare complication, osteofascial compartment syndrome (OCS), should be paid more attention to after the harvesting of the fibula osteocutaneous flap. In this report, we described a case where the OCS occurred in 56-year-old man after fibula osteocutaneous flap was transplanted for mandible reconstruction, and its treatment is reported. We suggest that if free fibula osteocutaneous flap is used, the OCS of the leg should be considered seriously, and the drainage must be effective and adequate.
游离腓骨骨皮瓣已广泛应用于面部骨骼尤其是下颌骨的重建。游离腓骨骨皮瓣供区的并发症一般被认为较少且轻微。然而，在切取腓骨骨皮瓣后，一种严重且罕见的并发症——骨筋膜室综合征（OCS）应得到更多关注。在本报告中，我们描述了一例56岁男性在接受腓骨骨皮瓣移植进行下颌骨重建后发生骨筋膜室综合征的病例，并报告了其治疗情况。我们建议，如果使用游离腓骨骨皮瓣，应认真考虑腿部的骨筋膜室综合征，且引流必须有效且充分。
