Preoperative Vascular Interventions to Improve Donor Leg Perfusion: a Report of Two Fibula Free Flaps Used in Head and Neck Reconstruction

For the reconstruction of head and neck defects, the fibula free flap is the first choice at many institutions. The main contraindication for fibula harvest is the lack of three vessel run-off leading to post-operative vascular compromise of the lower extremity. Atherosclerosis is the most common disease which can limit the use of this donor site. In general, vascular interventions, which includes angioplasty, atherectomy, and stenting, have been utilized to fix the arterial supplies using endovascular methods.

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