Occult stenosis of the common carotid artery complicating mandibular reconstruction with a fibular free flap

M C Bater; P A Brennan; T K Mellor; E Tilley

doi:10.1016/j.bjoms.2005.03.028

Occult stenosis of the common carotid artery complicating mandibular reconstruction with a fibular free flap

Br J Oral Maxillofac Surg. 2006 Feb;44(1):52-3. doi: 10.1016/j.bjoms.2005.03.028. Epub 2005 Jun 4.

Authors

M C Bater¹, P A Brennan, T K Mellor, E Tilley

Affiliation

¹ Maxillofacial Unit and Department of Diagnostic Imaging, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY, UK.

PMID: 15936855
DOI: 10.1016/j.bjoms.2005.03.028

Abstract

An unsuspected severely stenosed common carotid artery that compromised a free flap for mandibular reconstruction is described. To our knowledge no one has advocated the assessment of the carotid tree before transfer of free tissue. We suggest that patients with several risk factors for peripheral vascular disease should have colour flow duplex imaging of the carotid system if transfer of free tissue is being considered.

Publication types

Case Reports

MeSH terms

Aged
Atherosclerosis / complications
Bone Transplantation*
Carcinoma, Squamous Cell / surgery
Carotid Artery, Common / pathology*
Carotid Stenosis / complications*
Constriction, Pathologic / complications
Fibula / blood supply
Graft Occlusion, Vascular / etiology
Humans
Male
Mandible / surgery*
Mandibular Neoplasms / surgery
Neck Dissection
Peripheral Vascular Diseases / complications
Plastic Surgery Procedures / methods*
Risk Factors
Surgical Flaps* / blood supply