%0 Journal Article
%T Free Flap Anastomosis Leak after Implantable Doppler
Removal
%A Pierre-Hugues Fortier
%A Simon Brisebois
%A V¨¦ronique Anctil
%J Archive of "OTO Open".
%D 2017
%R 10.1177/2473974X17697057
%X A 74-year-old woman was referred to our center for osteoradionecrosis of the right mandible occurring after dental extraction despite preventive hyperbaric therapy. The patient had been treated by concurrent chemoradiation for a squamous cell carcinoma of the base of tongue >10 years ago. Given the severity of the osteoradionecrosis, a right segmental mandibulectomy with reconstruction via a ¡°tip of the scapula¡± osseous free flap was planned. During surgery, an implantable Cook-Swartz Doppler probe (Cook Medical, Bloomington, Indiana) was installed 3 cm above the anastomosis on the subscapular artery for postoperative monitoring of the flap. A prophylactic tracheostomy was installed and then weaned postoperatively
%K free flap
%K implantable Doppler
%K complications
%K monitoring
%K anastomotic leak
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6239048/