Safety of free fibula flap harvest in IIIA and IIIB tibio-peroneal trunk variations

Kumar, V.; Gupta, Prince Kumar; Bindu, Ameya; Mantri, Mayur; Mathews, Saumya; Jaiswal, Dushyant; Shankhdhar, Vinay Kant

doi:10.1016/j.bjps.2023.07.012

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2024

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“…The fibula can be safely harvested only after clinically confirming the vascularity of the leg with clamps in place. Similar findings were echoed by Kumar et al [6], Oxford and Ducic [7], Golas et al [8], and Lutz et al [9] in their respective studies. Taylor and Pan [10] noted that most leg muscles are supplied by two or three blood vessels, with extensive connections among all leg vessels.…”

Section: Discussionsupporting

confidence: 69%

Unveiling the Extraordinary: A Rare Type IIIA Infra-Popliteal Arterial Variation in a Free Fibula Osteocutaneous Flap for Mandibular Reconstruction

Doshi,

Borle,

Bhola

2024

Cureus

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The free fibula flap (FFF), based on the peroneal artery (PA) system, is the gold standard for mandibular reconstruction. Various anatomical variations in the infra-popliteal lower limb vascular system exist. These variations present as an intraoperative surprise to surgeons even after an unremarkable clinical vascular examination of the leg. Here, we report one such case, where we performed successful mandibular reconstruction after encountering a Type IIIA variation of infra-popliteal arterial vasculature.

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