First reported PET positive, FDG avid free flap pedicle ossification and review of the literature

Alex M. Silberzweig; Monica H. Xing; Neil Mundi; Ammar Matloob; Mark L. Urken

doi:10.1016/j.clinimag.2021.03.034

First reported PET positive, FDG avid free flap pedicle ossification and review of the literature

Alex M. Silberzweig, Monica H. Xing, Neil Mundi, Ammar Matloob, Mark L. Urken

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The fibular free flap (FFF) is commonly used for head and neck bony reconstruction. Ossification of the vascular pedicle has been reported but is an uncommon complication of this procedure. Ossification of the pedicle with FDG avidity has not been identified in the literature. Here we present a case of FDG avid free flap ossification seen on PET/CT imaging in a patient who developed trismus after fibular free flap reconstruction of a maxillary defect for a primary squamous cell carcinoma of the palate. The FDG avidity of the free flap ossification and trismus were both concerning for recurrent squamous cell carcinoma.

Original language	English
Pages (from-to)	30-35
Number of pages	6
Journal	Clinical Imaging
Volume	79
DOIs	https://doi.org/10.1016/j.clinimag.2021.03.034
State	Published - Nov 2021

Keywords

Free flap
Hypermetabolic
Ossification
PET

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10.1016/j.clinimag.2021.03.034

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title = "First reported PET positive, FDG avid free flap pedicle ossification and review of the literature",

abstract = "The fibular free flap (FFF) is commonly used for head and neck bony reconstruction. Ossification of the vascular pedicle has been reported but is an uncommon complication of this procedure. Ossification of the pedicle with FDG avidity has not been identified in the literature. Here we present a case of FDG avid free flap ossification seen on PET/CT imaging in a patient who developed trismus after fibular free flap reconstruction of a maxillary defect for a primary squamous cell carcinoma of the palate. The FDG avidity of the free flap ossification and trismus were both concerning for recurrent squamous cell carcinoma.",

keywords = "Free flap, Hypermetabolic, Ossification, PET",

author = "Silberzweig, {Alex M.} and Xing, {Monica H.} and Neil Mundi and Ammar Matloob and Urken, {Mark L.}",

note = "Publisher Copyright: {\textcopyright} 2021",

year = "2021",

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doi = "10.1016/j.clinimag.2021.03.034",

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AU - Silberzweig, Alex M.

AU - Xing, Monica H.

AU - Mundi, Neil

AU - Matloob, Ammar

AU - Urken, Mark L.

PY - 2021/11

Y1 - 2021/11

N2 - The fibular free flap (FFF) is commonly used for head and neck bony reconstruction. Ossification of the vascular pedicle has been reported but is an uncommon complication of this procedure. Ossification of the pedicle with FDG avidity has not been identified in the literature. Here we present a case of FDG avid free flap ossification seen on PET/CT imaging in a patient who developed trismus after fibular free flap reconstruction of a maxillary defect for a primary squamous cell carcinoma of the palate. The FDG avidity of the free flap ossification and trismus were both concerning for recurrent squamous cell carcinoma.

AB - The fibular free flap (FFF) is commonly used for head and neck bony reconstruction. Ossification of the vascular pedicle has been reported but is an uncommon complication of this procedure. Ossification of the pedicle with FDG avidity has not been identified in the literature. Here we present a case of FDG avid free flap ossification seen on PET/CT imaging in a patient who developed trismus after fibular free flap reconstruction of a maxillary defect for a primary squamous cell carcinoma of the palate. The FDG avidity of the free flap ossification and trismus were both concerning for recurrent squamous cell carcinoma.

KW - Free flap

KW - Hypermetabolic

KW - Ossification

KW - PET

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AN - SCOPUS:85104125548

SN - 0899-7071

VL - 79

SP - 30

EP - 35

JO - Clinical Imaging

JF - Clinical Imaging

ER -

First reported PET positive, FDG avid free flap pedicle ossification and review of the literature

Abstract

Keywords

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