ArticleCase reports in plastic surgery & hand surgery2026
Lower limb varicose veins in free fibula flap reconstruction: a surgical case report and scoping review.
Article in Case reports in plastic surgery & hand surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Mandibular reconstruction using a vascularized free fibular flap (FFF) remains a gold standard following oral cancer resection. Lower-limb varicose veins are a common manifestation of chronic venous disease, but their potential impact on free-flap viability is largely unexplored in the surgical literature. Case presentation: We present a case of FFF reconstruction in a patient with lower extremity varicose veins, detailing the intraoperative management of venous congestion and the postoperative course. Methods: We conducted a scoping review to identify publications addressing venous disease or abnormal venous findings in the context of FFF reconstruction. Results: The scoping review identified only two relevant publications. Conclusion: This report identifies an evidence gap regarding the relevance of donor-site venous findings in FFF reconstruction. The present case and limited literature are hypothesis-generating and do not establish a causal relationship between superficial varicose veins and flap compromise. Further research is needed to clarify whether targeted venous assessment has a role in selected patients.
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