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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

A Journal on Maxillofacial Surgery


Official Journal of the Italian Society of Maxillofacial Surgery


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Italian Journal of Maxillofacial Surgery 2006 April-December;17(1-3):43-6

language: English

A rare complication of oral microsurgical reconstruction: a case of multiple recipient arteries thrombosis

Padula E. 1, Spanio Di Spilimbergo S. 1, Squaquara R. 1, Cusino C. 1, Rampazzo A. 1, Penzo M. 2

1 Department of Maxillo-Facial Surgery S. Bortolo Hospital, Vicenza, Italy
2 Department of Cardiology S. Bortolo Hospital, Vicenza, Italy


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Free flaps reconstructions of head and neck cancer is well reported in literature. Venous thrombosis is more frequent than arterial thrombosis and could complicate the operation. Many clinical situation could lead to a hypercoagulable state with high risk of microanastomosis thrombosis. In literature, many cases of arterial and venous thrombosis are reported at the microanastomotic site. We report a case of oral reconstruction complicated with more venous thrombosis at the flap pedicle and multiple arterial thrombosis at the recipient arteries, branches of external carotid artery. The case was resolved with systemic thrombolitic therapy. The postoperative coagulation workup was completely negative.

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