TY - JOUR PY - 2009// TI - Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure JO - Laryngoscope A1 - Jacobson, Adam S. A1 - Khorsandi, Azita S. A1 - Buchbinder, Daniel A1 - Urken, Mark L. SP - 1085 EP - 1087 VL - 119 IS - 6 N2 - 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.
Language: en
LA - en SN - 0023-852X UR - http://dx.doi.org/10.1002/lary.20227 ID - ref1 ER -