Rhabdomyolysis after the free fibular flap operation for mandibular reconstruction: a case report

被引：1

作者：

Choi W.-H. ^{[1
]}

Kim Y.-D. ^{[1
]}

Song J.-M. ^{[1
]}

Lee J.-Y. ^{[1
]}

机构：

[1] Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Gyeongsangnam-do, Yangsan-si

来源：

Maxillofacial Plastic and Reconstructive Surgery | / 40卷 / 1期

关键词：

Free fibular flap; Kidney failure; Pneumatic tourniquet; Rhabdomyolysis;

D O I：

10.1186/s40902-018-0180-2

中图分类号：

学科分类号：

摘要：

Background: Free fibular flap is one of the most useful methods in the hard tissue reconstruction of the maxilla-mandible. Free fibular flap presents some advantages in which the reconstruction of both soft and hard tissues can be done at the same time. It also provides a safe and successful bone graft for the reconstruction, along with a low rate of complications. Despite these advantages and the rarity of a postoperative complication, particularly in oral and maxillofacial surgery procedures, a prolonged operation might exhibit some complications related with rhabdomyolysis. We experienced the rare event of rhabdomyolysis after oral cancer surgery. Case presentation: In this article, we report the case of a patient who developed rhabdomyolysis after undergoing free fibular flap surgery. Conclusions: Despite the advantages of the free fibular flap operation, clinicians must be aware of the risk of complications because there are multiple factors that could result in rhabdomyolysis, such as duration of operation, position of the subject, and pre-existing conditions of diabetes and hypertension. Once the diagnosis of rhabdomyolysis is confirmed, a prompt treatment plan should be made and applied as soon as possible. This will increase the chance of a full recovery for the patient who is exhibiting symptoms of rhabdomyolysis. © 2018, The Author(s).

引用

共 16 条

[1]

Hanasono M.M., Friel M.T., Klem C., Et al., Impact of reconstructive microsurgery in patients with advanced oral cavity cancers, Head Neck, 31, pp. 1289-1296, (2009)

[2]

Hidalgo D.A., Disa J.J., Cordeiro P.G., Hu Q.-Y., A review of 716 consecutive free flaps for oncologic surgical defects: refinement in donor-site selection and technique, Plast Reconstr Surg, 102, pp. 722-732, (1998)

[3]

Wakai A., Winter D.C., Street J.T., Redmond P.H., Pneumatic tourniquets in extremity surgery, J Am AcadOrthop Surg, 9, 5, pp. 345-351, (2001)

[4]

Kirkley A., Rampersaud R., Griffin S., Amendola A., Litchfield R., Fowler P., Tourniquet versus no tourniquet use in routine knee arthroscopy: a prospective, double-blind, randomized clinical trial, Arthroscopy, 16, pp. 121-126, (2000)

[5]

Arciero R.A., Scoville C.R., Hayda R.A., Snyder R.J., The effect of tourniquet use in anterior cruciate ligament reconstruction: a prospective, randomized study, Am J Sports Med, 24, pp. 758-764, (1996)

[6]

Ward C.M., Oedema of the hand after fasciectomy with or without tourniquet, Hand, 8, pp. 179-185, (1976)

[7]

Greene T.L., Louis D.S., Compartment syndrome of the arm: a complication of the pneumatic tourniquet? A case report, J Bone Joint Surg Am, 65, pp. 270-273, (1983)

[8]

Leventhal I., Schiff H., Wulfsohn M., Rhabdomyolysis and acute renal failure as a complication of urethral surgery, Urology, 26, (1985)

[9]

Reddy P.K., Kaye K.W., Deep posterior compartmental syndrome: a serious complication of the lithotomy position, J Urol, 132, (1984)

[10]

Lagandre S., Arnalsteen L., Vallet B., Et al., Predictive factors for rhabdomyolysis after bariatric surgery, Obes Surg, 16, (2006)

← 1 2 →