@article{ref1,
title="Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure",
journal="Laryngoscope",
year="2009",
author="Jacobson, Adam S. and Khorsandi, Azita S. and Buchbinder, Daniel and Urken, Mark L.",
volume="119",
number="6",
pages="1085-1087",
abstract="OBJECTIVES/HYPOTHESIS: The successful harvest and transplant of a fibular flap depends on many factors, including healthy inflow and outflow systems. A contraindication to harvesting a fibular flap is disease of the lower extremity arterial system; therefore, preoperative evaluation of the arterial system is routine. Preoperative evaluation of the venous system is not routine, unless there is clinical suspicion of venous disease. METHODS: Retrospective chart review. RESULTS: Two cases of occult deep venous thrombosis (DVT) were encountered intraoperatively resulting in nontransplantable flaps. CONCLUSIONS: This finding represents a serious concern, and we believe that venous imaging should be considered in patients with significant risk factors for harboring an occult DVT. Laryngoscope, 2009.<p /><p>Language: en</p>",
language="en",
issn="0023-852X",
doi="10.1002/lary.20227",
url="http://dx.doi.org/10.1002/lary.20227"
}