Soleus Muscle Necrosis Following Harvest of Fibula Free Flap: A Case Report and Retrospective Contrast <scp>CT</scp> Analysis

Soleus muscle necrosis is a rare complication following fibula free flap harvest for mandibular reconstruction. This report presents a case of soleus necrosis without compartment syndrome or infection and reviews the blood supply of the soleus muscle in 24 patients. Variations in the vascular anatomy of the soleus muscle, particularly reliance on the peroneal artery, may predispose to this complication. Clinicians should consider soleus muscle necrosis in patients with atypical donor site pain after fibula harvest. Laryngoscope, 135:1083-1085, 2025.

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Journal
The Laryngoscope
Published
2024-10-12
DOI
https://doi.org/10.1002/lary.31842
Primary Topic
Muscle and Compartmental Disorders
Type
article
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article

Soleus Muscle Necrosis Following Harvest of Fibula Free Flap: A Case Report and Retrospective Contrast CT Analysis

Yuki Otsuki, Akinori Asaka, Takashi Nuri, Sooyeon Lee et al.
The Laryngoscope
Muscle and Compartmental Disorders
article

Soleus Muscle Necrosis Following Harvest of Fibula Free Flap: A Case Report and Retrospective Contrast CT Analysis

Yuki Otsuki, Akinori Asaka, Takashi Nuri, Sooyeon Lee, Koichi Ueda
article en

Abstract

Soleus muscle necrosis is a rare complication following fibula free flap harvest for mandibular reconstruction. This report presents a case of soleus necrosis without compartment syndrome or infection and reviews the blood supply of the soleus muscle in 24 patients. Variations in the vascular anatomy of the soleus muscle, particularly reliance on the peroneal artery, may predispose to this complication. Clinicians should consider soleus muscle necrosis in patients with atypical donor site pain after fibula harvest. Laryngoscope, 135:1083-1085, 2025.

The LaryngoscopeVol. 135(3)
Osaka University of Pharmaceutical Sciences (JP)
Good health and well-being
Openalex Percentile: Top 67%
Muscle and Compartmental Disorders
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