Nuri Takashi, Asaka Akinori, Lee Sooyeon, Otsuki Yuki, Ueda Koichi
Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Laryngoscope. 2025 Mar;135(3):1083-1085. doi: 10.1002/lary.31842. Epub 2024 Oct 12.
Soleus muscle necrosis is a rare complication following fibula free flap harvest for mandibular reconstruction. This report presents a case of soleus necrosis without compartment syndrome or infection and reviews the blood supply of the soleus muscle in 24 patients. Variations in the vascular anatomy of the soleus muscle, particularly reliance on the peroneal artery, may predispose to this complication. Clinicians should consider soleus muscle necrosis in patients with atypical donor site pain after fibula harvest. Laryngoscope, 135:1083-1085, 2025.
比目鱼肌坏死是下颌骨重建游离腓骨瓣切取术后一种罕见的并发症。本报告介绍了一例无骨筋膜室综合征或感染的比目鱼肌坏死病例，并回顾了24例患者比目鱼肌的血供情况。比目鱼肌血管解剖结构的变异，尤其是对比目鱼肌动脉的依赖，可能易导致此并发症。临床医生应考虑在腓骨切取后出现非典型供区疼痛的患者中存在比目鱼肌坏死的情况。《喉镜》，135:1083 - 1085，2025年。
