VIDEO: Preoperative CT Angiography for Fibular Free Flap Reconstructions

Bilal Mujtaba; Gaurav K. Synghal; Patrick B. Garvey; Behrang Amini; Tamara Miner Haygood; John E. Madewell; Colleen M. Costelloe

doi:10.2214/AJR.17.19154

VIDEO: Preoperative CT Angiography for Fibular Free Flap Reconstructions

Bilal Mujtaba, Gaurav K. Synghal, Patrick B. Garvey, Behrang Amini, Tamara Miner Haygood, John E. Madewell, Colleen M. Costelloe

Plastic Surgery

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

OBJECTIVE: The objective of this video article is to provide an introduction to the use of fibular free flaps. Normal and variant vascular anatomy of the fibular free flap is discussed, as are imaging acquisition and CT angiography interpretation, computer-assisted design and manufacturing, and the limitations of the fibular free flap. CONCLUSION: The fibular free flap is commonly used for head and neck reconstructive surgery. Variation exists between individuals regarding the origin of the peroneal artery and the perforating arteries. Our method of performing CT angiography and reporting its findings for patients undergoing a fibular free flap procedure provides a reproducible means of identifying important elements of the vasculature and effectively communicating their locations to surgeons. Accurate communication can maximize the success of the flap harvesting and the preoperative manufacture of custom fibular cutting guides.

Original language	English (US)
Pages (from-to)	W264
Journal	AJR. American journal of roentgenology
Volume	210
Issue number	6
DOIs	https://doi.org/10.2214/AJR.17.19154
State	Published - Jun 1 2018

Keywords

CT angiography
fi bular free fl ap
mandibular reconstruction
popliteal branching patterns

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.2214/AJR.17.19154

Cite this

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title = "VIDEO: Preoperative CT Angiography for Fibular Free Flap Reconstructions",

abstract = "OBJECTIVE: The objective of this video article is to provide an introduction to the use of fibular free flaps. Normal and variant vascular anatomy of the fibular free flap is discussed, as are imaging acquisition and CT angiography interpretation, computer-assisted design and manufacturing, and the limitations of the fibular free flap. CONCLUSION: The fibular free flap is commonly used for head and neck reconstructive surgery. Variation exists between individuals regarding the origin of the peroneal artery and the perforating arteries. Our method of performing CT angiography and reporting its findings for patients undergoing a fibular free flap procedure provides a reproducible means of identifying important elements of the vasculature and effectively communicating their locations to surgeons. Accurate communication can maximize the success of the flap harvesting and the preoperative manufacture of custom fibular cutting guides.",

keywords = "CT angiography, fi bular free fl ap, mandibular reconstruction, popliteal branching patterns",

author = "Bilal Mujtaba and Synghal, {Gaurav K.} and Garvey, {Patrick B.} and Behrang Amini and Haygood, {Tamara Miner} and Madewell, {John E.} and Costelloe, {Colleen M.}",

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T2 - Preoperative CT Angiography for Fibular Free Flap Reconstructions

AU - Mujtaba, Bilal

AU - Synghal, Gaurav K.

AU - Garvey, Patrick B.

AU - Amini, Behrang

AU - Haygood, Tamara Miner

AU - Madewell, John E.

AU - Costelloe, Colleen M.

PY - 2018/6/1

Y1 - 2018/6/1

N2 - OBJECTIVE: The objective of this video article is to provide an introduction to the use of fibular free flaps. Normal and variant vascular anatomy of the fibular free flap is discussed, as are imaging acquisition and CT angiography interpretation, computer-assisted design and manufacturing, and the limitations of the fibular free flap. CONCLUSION: The fibular free flap is commonly used for head and neck reconstructive surgery. Variation exists between individuals regarding the origin of the peroneal artery and the perforating arteries. Our method of performing CT angiography and reporting its findings for patients undergoing a fibular free flap procedure provides a reproducible means of identifying important elements of the vasculature and effectively communicating their locations to surgeons. Accurate communication can maximize the success of the flap harvesting and the preoperative manufacture of custom fibular cutting guides.

AB - OBJECTIVE: The objective of this video article is to provide an introduction to the use of fibular free flaps. Normal and variant vascular anatomy of the fibular free flap is discussed, as are imaging acquisition and CT angiography interpretation, computer-assisted design and manufacturing, and the limitations of the fibular free flap. CONCLUSION: The fibular free flap is commonly used for head and neck reconstructive surgery. Variation exists between individuals regarding the origin of the peroneal artery and the perforating arteries. Our method of performing CT angiography and reporting its findings for patients undergoing a fibular free flap procedure provides a reproducible means of identifying important elements of the vasculature and effectively communicating their locations to surgeons. Accurate communication can maximize the success of the flap harvesting and the preoperative manufacture of custom fibular cutting guides.

KW - CT angiography

KW - fi bular free fl ap

KW - mandibular reconstruction

KW - popliteal branching patterns

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VIDEO: Preoperative CT Angiography for Fibular Free Flap Reconstructions

Abstract

Keywords

ASJC Scopus subject areas

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