Severe compartment syndrome following fibula harvesting for mandible reconstruction

Abstract There are many reports of the use of free fibular flap for mandible reconstruction, but donor site morbidity is not uncommon. The authors present the case of a 52-year-old man who underwent mandible reconstruction with free fibular flap. After surgery, he developed severe compartment syndro...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2011-04, Vol.40 (4), p.443-445
Main Authors: Fodor, L, Dinu, C, Fodor, M, Ciuce, C
Format: Article
Language:English
Subjects:
Carcinoma, Squamous Cell - surgery
Compartment Syndromes - etiology
Compartment Syndromes - surgery
Dentistry
Fibula - surgery
Free Tissue Flaps
Humans
Leg - surgery
Male
Mandible - surgery
Mandibular Neoplasms - surgery
Middle Aged
Reconstructive Surgical Procedures - methods
Surgery
Tibial Arteries - surgery
Tissue and Organ Harvesting - adverse effects
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Summary:Abstract There are many reports of the use of free fibular flap for mandible reconstruction, but donor site morbidity is not uncommon. The authors present the case of a 52-year-old man who underwent mandible reconstruction with free fibular flap. After surgery, he developed severe compartment syndrome involving all four-calf compartments. Debridement of the necrotic areas was followed by posterior nerve neurolysis and soft tissue coverage with free latissimus dorsi and anterior serratus muscle flaps. The postoperative period was uneventful and the patient remained with diminished plantar sensation 1 year later. Compartment syndrome after fibula harvesting is a possibility and should be recognized as soon as possible in order to limit extensive damage to the calf muscles and nerves.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2010.10.021