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Chimeric Free Fibula Flap: An Encounter With Aberrant Anatomy.

作者信息

Brummund Dieter, Chang Angela

机构信息

Department of General Surgery, Aventura Hospital and Medical Center, Aventura, USA.

Department of Anesthesia, Aventura Hospital and Medical Center, Aventura, USA.

出版信息

Cureus. 2020 Aug 27;12(8):e10073. doi: 10.7759/cureus.10073.

DOI:10.7759/cureus.10073
PMID:32874815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7455380/
Abstract

A 59-year-old male presented with recurrent mucoepidermoid carcinoma of the mandible. A resection with immediate free fibula flap reconstruction was done. The osteocutaneous free fibula flap relies on the peroneal artery and its distal perforators. Variant patterns necessitate consideration of the challenging to dissect proximal myocutaneous perforator raised on a single or double anastomosis, depending on origin. Even in cases of flap salvage, the fibula flap remains a reliable flap. This case describes a fibula flap with a sole proximal myocutaneous perforator identified during dissection despite a normal preoperative Doppler.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/899cb044b4ed/cureus-0012-00000010073-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/857e8f98b09d/cureus-0012-00000010073-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/ae1f199a5138/cureus-0012-00000010073-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/899cb044b4ed/cureus-0012-00000010073-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/857e8f98b09d/cureus-0012-00000010073-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/ae1f199a5138/cureus-0012-00000010073-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c92/7455380/899cb044b4ed/cureus-0012-00000010073-i03.jpg

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Reconstruction of nasal airway in patients of class IIId maxillary defect with vastus lateralis muscle-chimeric double skin paddle ALT flap.

本文引用的文献

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A Novel Method of Noninvasive Monitoring of Free Flaps With Near-Infrared Spectroscopy.一种利用近红外光谱技术对游离皮瓣进行无创监测的新方法。
Eplasty. 2017 Dec 15;17:e37. eCollection 2017.
2
Blood vessels of the shin - anterior tibial artery - anatomy and embryology - own studies and review of the literature.胫骨血管 - 胫前动脉 - 解剖学与胚胎学 - 自身研究及文献综述
Folia Med Cracov. 2016;56(1):33-47.
3
Proximal peroneal perforator in dual-skin paddle configuration of fibula free flap for composite oral reconstruction.腓骨游离皮瓣双皮瓣构型中的近段腓动脉穿支在复合口腔重建中的应用。
采用股外侧肌-嵌合双皮瓣 ALT 皮瓣重建 III 类上颌骨缺损患者的鼻腔气道。
BMC Oral Health. 2022 Dec 8;22(1):576. doi: 10.1186/s12903-022-02635-y.
Plast Reconstr Surg. 2014 Jun;133(6):1485-1492. doi: 10.1097/PRS.0000000000000216.
4
Flow-through flap for salvage of fibula osseocutaneous vascular variations: a surgical approach and proposed modification of its classification.用于挽救腓骨骨皮血管变异的穿流皮瓣：一种手术方法及其分类的建议修改
J Oral Maxillofac Surg. 2014 Jun;72(6):1197-202. doi: 10.1016/j.joms.2013.12.011. Epub 2013 Dec 16.
5
Vascular anatomy of the integument of the lateral lower leg: an anatomical study focused on cutaneous perforators and their clinical importance.小腿外侧皮肤的血管解剖：以皮穿支为重点的解剖学研究及其临床意义。
Plast Reconstr Surg. 2011 Jul;128(1):188-198. doi: 10.1097/PRS.0b013e3182174303.
6
Successful management of free osteocutaneous fibula flap with anomalous vascularity of the skin paddle.成功处理皮肤皮瓣血管异常的游离腓骨骨皮瓣。
Indian J Plast Surg. 2009 Jul;42(2):255-7. doi: 10.4103/0970-0358.59295.
7
Peroneal artery perforator chimeric flap: changing the perspective in free fibula flap use in complex oromandibular reconstruction.腓动脉穿支嵌合皮瓣：改变游离腓骨瓣在复杂口腔颌面部重建中应用的视角
J Reconstr Microsurg. 2008 Aug;24(6):413-8. doi: 10.1055/s-0028-1082891. Epub 2008 Jul 29.
8
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Plast Reconstr Surg. 1999 Mar;103(3):846-9. doi: 10.1097/00006534-199903000-00010.
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Routine donor leg angiography before vascularized free fibula transplantation is not necessary: a prospective study in 120 clinical cases.在带血管蒂游离腓骨移植术前进行常规供体腿部血管造影并无必要：120例临床病例的前瞻性研究。
Plast Reconstr Surg. 1999 Jan;103(1):121-7. doi: 10.1097/00006534-199901000-00019.