Clinical outcomes following intraoperative pedicle disruption in fibula free flaps.
Jonathan JelminiAllison A SlijepcevicUrjeet PatelLarissa SweenyPatrik PipkornYadro DucicJustine MoeAmy PittmanKarthik RajasekaranJason DiazCarissa ThomasPatrick ByrneJason RichAkina TamakiLiana PuscasDaniel PetrisorMark K WaxPublished in: Head & neck (2023)
Accidental severance of fibula free flap pedicle vessels can be corrected with intraoperative repair, without affecting long-term flap survival or reconstructive outcomes. Protecting the flap vessels while using the bone saw and during intramuscular dissection prevents accidental severance.